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肿瘤放疗科室的工作包括病房、制模室、CT定位室、放疗计划室、登记室、加速器机房等多个部门的分工合作。在临床放疗中,放射事故时有发生,我国在1988年至1998年期间的放射治疗中,发生了23起放射事故,受照人员多达95例[1]。如何优化放射治疗流程、加强质量控制、减少放射事故的发生和提高疗效,一直都是从事放射治疗的工作人员努力的方向。为了使肿瘤放疗科各个部门能够有效、方便地沟通,及时获取信息,尽可能避免放射事故,一些关于放射治疗信息管理系统的研究得到了开展[2-5]。我院自2009年起率先在国内利用计算机技术,在医院已有的局域网基础上,参考新加坡国家癌症中心的MOSAIQ®系统的建设标准,结合本院特点建立了中文版MOSAIQ®系统,该系统现已运行2年,取得了良好的运营效果,为医院肿瘤放疗的发展做出了重要贡献。
网络管理对肿瘤放疗流程的优化
Optimization of the radiotherapy procedure using network management
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摘要: 放射治疗的发展已有100多年的历史。近年来,随着科学技术的迅猛发展,放射治疗设备有了明显的改善,由过去以X射线治疗机、60Co远距离治疗机为主,发展到今天以直线加速器、后装治疗机为主要治疗机,辅以模拟定位机、放射治疗计划系统、图像引导装置、多种体位固定方式等的系列设备系统。随着分工的细化,逐步形成了以放疗医师、技师、物理师、工程师、护士等为一体的人员结构。如何将放射治疗中各部门有机的结合并协同有效的管理,确保肿瘤放疗的质量控制与质量保证,减少放射事故的发生,提高肿瘤放疗疗效,是近年来一直困扰研究人员的问题。该文通过讲述引进MOSAIQ®系统并结合医院实际情况,建立完整的管理制度和流程,总结了使用MOSAIQ®系统对优化肿瘤放疗管理流程的经验,认为MOSAIQ®系统的运行模式优化了肿瘤放疗流程,加强了人员及信息管理、放疗质量控制,节省了患者的治疗时间。Abstract: Radiation therapy has been developed more than 100 years. Recently, with the rapid development of scientific technology, equipment for radiation therapy has been significantly improved from the application of original X-ray equipment for radiotherapy, 60Co teletherapy unit to a current application of a system including main therapy equipment such as linear accelerator, brachytherapy machine and including auxiliary apparatus such as simulator, treatment planning system, image-guided apparatus and various body position fixing devices and so on. A staff including doctor, therapist, physicist, engineer and nurse was constructed with work dividing deepen. In recent years, researchers have tried their best to manage various departments collaboratively and efficiently, to ensure quality control and quality assurance, to avoid radiation accident, and to improve therapeutic effect in radiation therapy. In this paper, establishment of an integrated management system or workflow by introducing MOSAIQ® system and combining with actual situation in hospital was described, and experience for optimization of workflow in radiation therapy management with MOSAIQ® system was summarized. It was shown that MOSAIQ® system could be a potentially tool to optimize workflow in radiation therapy management, strengthen personnel or information management, enhance quality control and save patients' treatment time.
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Key words:
- Neoplasms /
- Radiotherapy /
- Quality control /
- MOSAIQ® system /
- Computer communication networks
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[1] Zhou L, Zhang WY, Zhang LA. General situation of radiation accidents in China. Radiat Prot Dosimetry, 2007, 124(2): 177-180. doi: 10.1093/rpd/ncm001 [2] 徐志勇, 小龙, 宋亮, 等.放疗网络系统的研制和应用.中华放射肿瘤学杂志, 2006, 15(5): 415-418. doi: 10.3760/j.issn:1004-4221.2006.05.024
[3] 陈俊超, 王佳舟, 徐志勇.放疗网络与信息系统.中国医学物理学杂志, 2011, 28(5): 2913-2916. doi: 10.3969/j.issn.1005-202X.2011.05.020
[4] 李龙根, 徐志勇, 傅小龙, 等.放射治疗网络系统质量保证体系的设计和应用.中国医学物理学杂志, 2007, 24(1): 7-8. doi: 10.3969/j.issn.1005-202X.2007.01.003
[5] 赵金早.放射治疗信息管理系统的安全维护.中国科技信息, 2010, 20: 124-126.
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