Organizational development trajectory of a large academic radiotherapy department set up similarly to a prospective clinical trial: the MAASTRO experience

M. Jacobs, L. Boersma, A. Dekker, E. Hermanns, R. Houben, M. Govers, F. van Merode, P. Lambin

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Objective: To simultaneously improve patient care processes and clinical research activities by starting a hypothesis-driven reorganization trajectory mimicking the rigorous methodology of a prospective clinical trial. Methods: The design of this reorganization trajectory was based on the model of a prospective trial. It consisted of (1) listing problems and analysing their potential causes, (2) defining interventions, (3) defining end points and (4) measuring the effect of the interventions (i.e. at baseline and after 1 and 2 years). The primary end point for patient care was the number of organizational root causes of incidents/near incidents; for clinical research, it was the number of patients in trials. There were several secondary end points. We analysed the data using two sample z-tests, x(2) test, a Mann-Whitney U test and the one-way analysis of variance with Bonferroni correction. Results: The number of organizational root causes was reduced by 27% (p interventions.
Original languageEnglish
Article number20140559
JournalBritish Journal of Radiology
Volume88
Issue number1049
DOIs
Publication statusPublished - 1 Jan 2015

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