Session Invited Program TH- External Beam- Photons

Learning from Experience: Real-World Lessons from Physics Plan Review

Description

Treatment plan review is normally focused on ensuring the quality of individual plans. However, what begins as a routine treatment plan review can occasionally result in hard-earned lessons that lead to significant improvements in clinical practice -- lessons that are rarely shared outside individual departments. This session will present case studies that show the power of treatment plan review to be a key source of learning and improvement. This session brings clinical physicists from multiple institutions to present challenging events and near-miss cases encountered during treatment plan review. Each case will cover initial discovery of an issue, the subsequent investigation to determine root causes and contributing factors, selection of quality improvement changes and monitoring the changes to ensure they are sustainable over time. Attendees will actively participate in this case-based session, with the goal of identifying practical strategies to strengthen the safety and consistency of plan evaluation practices across the field. By sharing our collective experience, we can improve outcomes and reduce preventable errors in the radiation therapy planning workflow.

People
Dustin J. Jacqmin, PhDModerators · University of Wisconsin Patricia E. Lindsay, PhDProgram Director · Princess Margaret Cancer Centre Minsun Kim, PhDModerators · University of Washington

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