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Title: Patient wait list management-comparison with RANZCR guidelines.
Epworth Authors: Do, Andrew
Fenton, Paul
Keywords: Radiation Oncology
Oncology, Radiation
Radiation Therapy
The Royal Australian and New Zealand College of Radiologists
The Royal Australian and New Zealand College of Radiologists - Standards
Oncology Service, Hospital
Hospital Oncology Service
Oncology Services, Hospital
Patient Care Management
Quality Indicators, Health Care
Quality Improvement
Patient Outcome Assessment
Outcomes Assessments, Patient
Assessment, Patient Outcomes
Computer applications
Health Policy and Practice
Computer Applications-3D
Multidisciplinary Cancer Care
ARIA® (Varian Medical Systems)
Epworth Radiation Oncology, Melbourne, Victoria, Australia
Issue Date: Sep-2014
Conference Name: 2014 Combined Scientific Meeting: Imaging and Radiation in Personalised Medicine
Conference Location: Melbourne, Victoria, Australia
Abstract: Aim: Assess the impact of organizational machine activity numbers on Radiation Therapy Wait times as compared with guidelines recommended by the Royal Australian and New Zealand College of Radiologists (RANZCR)(1). Wait times are an important indicator of service quality, evidence suggests wait times impact on local control and survival due to stage shifts and tumour growth. Eligibility for Clinical Trials, distress, anxiety, and depression among patients. Methods and materials: Key data required for comparison with a 2012 RANZCR survey(1) includes the Ready for Care (RFC) Date, Radiotherapy course start date, radiation therapy booking date, intent of treatment, and ‘category’ based on clinical urgency. Categories are defined as Emergency, Urgent, or Standard. All data elements are recorded directly (via capture or transcription) into the Electronic Medical Record using ARIA® (Varian Medical Systems) as part of the radiation therapy. Results: Initially with a single linear accelerator in March 2012, a new department brought the second and third linear accelerators online for the organisation in August 2012 and February 2013 respectively. A total of 1925 courses were analysed and over a period of 25 months starting from March 2012. Invalid data was removed entirely from the raw data; examples of these include cases for which the RFC date was no longer valid due to changes to medical, personal or other information. Conclusion: The department was able to achieve on starting treatment within all measures of category and intent. Patients receiving radiation therapy with palliative intent are commencing their treatment within 2 days of the RFC, patients with radical intent within 5 days on average. Efforts to improve data collection continue within the organization with considerations to record objective data as outlined by RANZCR including CT simulation date, date of multi-disciplinary meeting, and date.
DOI: 10.1594/ranzcr2014/R-0096
Type: Conference Paper
Appears in Collections:Cancer Services
Radiation Oncology

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