Patient Safety

PV QA 3 - Poster Viewing Q&A 3

TU_26_3067 - Implementation of Dietary Education Within a Multidisciplinary Team Approach to Improve Treatment Accuracy and Efficiency in Prostate Cancer External Beam Radiation Therapy

Tuesday, October 23
1:00 PM - 2:30 PM
Location: Innovation Hub, Exhibit Hall 3

Implementation of Dietary Education Within a Multidisciplinary Team Approach to Improve Treatment Accuracy and Efficiency in Prostate Cancer External Beam Radiation Therapy
J. Restrepo, T. L. Evans, G. A. Dawson, S. Li, N. Bektic-Marrero, and A. V. Cheuk; James J. Peters VA Medical Center, Bronx, NY

Purpose/Objective(s): Prostate cancer is the most common cancer in the Veterans Health Administration. Radiation is an important treatment option for prostate cancer patients. Imaging is done before each daily radiation treatment to ensure the radiation beam is aimed accurately. Imaging can be inaccurate due to excess gas or stool in the rectum, which alters the treatment field and leads to delays in the daily treatment schedule, increased radiation exposure due to re-imaging, repetitive staff treatment delivery interventions, and an unsatisfactory veteran experience. Materials/Methods: A quality improvement project utilizing A3.9 Box Process Improvement Methodology (problem solving template) was undertaken to address identified gastrointestinal concerns hindering daily treatment. A dietitian integrated services into the Radiation Oncology clinic by providing dietary education and counseling to avoid gas-producing foods and manage bowel regularity for prostate cancer patients. Daily images were reviewed for accuracy. For 3 months prior to intervention, we examined daily treatment images and documented any interruption in treatment delivery from gas or stool in the rectum as a nutrition-related defect. Baseline data analysis revealed that 72 of 208 (34.62%) daily treatment deliveries experienced nutrition-related defects. Results: As a result of changing the radiation therapy process to include dietary education to patients, we experienced a 45.84% reduction rate in nutrition-related defects (from 34.62% to 18.75%). Calculated cost avoidance showed an annual savings of $21,252 with implementation of a multidisciplinary approach. An estimate of approximately 132 daily treatment visits and 99 patient treatment hours can be saved annually with this approach. Conclusion: This project improved overall clinic function by implementing a multidisciplinary approach to prostate cancer radiation oncology care, increased patient’s satisfaction, reduced excess radiation exposure, and improved department efficiency.
Author Disclosure: J. Restrepo: Employee; New York Radiation Associates. T.L. Evans: None. G.A. Dawson: Faculty Position; Icahn School of Medicine at Mount Sinai. S. Li: None. N. Bektic-Marrero: None. A.V. Cheuk: Faculty Position; Icahn School of Medicine at Mount Sinai.

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