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Impact of Stakeholder Engagement and Underlying Factors on the Design, Evaluation, and Knowledge Transfer of Automated QA Tools in Two Radiation Oncology Departments Prior to Implementation
Impact of Stakeholder Engagement and Underlying Factors on the Design, Evaluation, and Kno...
Impact of Stakeholder Engagement and Underlying Factors on the Design, Evaluation, and Knowledge Transfer of Automated QA Tools in Two Radiation Oncology Departments Prior to Implementation

Detailed Information

자료유형  
 학위논문 서양
최종처리일시  
20260202103110
ISBN  
9798315711742
DDC  
614
저자명  
Kwong, Elizabeth Choy.
서명/저자  
Impact of Stakeholder Engagement and Underlying Factors on the Design, Evaluation, and Knowledge Transfer of Automated QA Tools in Two Radiation Oncology Departments Prior to Implementation
발행사항  
[Sl] : The University of North Carolina at Chapel Hill, 2025
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2025
형태사항  
301 p
주기사항  
Source: Dissertations Abstracts International, Volume: 86-11, Section: B.
주기사항  
Advisor: Mazur, Lukasz.
학위논문주기  
Thesis (Ph.D.)--The University of North Carolina at Chapel Hill, 2025.
초록/해제  
요약The physics pre-treatment quality assurance (QA) step is the step mostly likely to detect potential safety events in the radiation therapy process. However, there is a need for improving the physics pre-treatment QA checklist with the process relying heavily on human inspection and evidence that errors still occur. The purpose of this study is to explore the impact of stakeholder engagement and underlying factors in the design and evaluation of an automated physics pre-treatment QA checklist. This work was done through knowledge transfer between two radiation oncology departments at the University of North Carolina (UNC) and the University of California-San Diego (UCSD) prior to implementation by first exploring factors underlying the design, use, and maintenance of the current physics pre-treatment QA checklists using the Systems Engineering Initiative for Patient Safety (SEIPS) framework. An automated physics pre-treatment QA checklist ("PhyCheck") prototype was developed at UNC, which demonstrated increased usability and decreased cognitive workload (CWL) compared to the current checklist. Safety events captured using the current physics pre-treatment QA checklist and qualitative data on automation and safety demonstrate the potential for automation to catch safety events and outline key barriers for automation. The engagement of stakeholders led to knowledge transfer between institutions and both institutions meeting the threshold for pre-implementation outcomes. This study highlights the importance of stakeholder involvement and engagement and outlines the underlying factors in the design, evaluation, and pre-implementation of health technology tools.
일반주제명  
Health sciences
일반주제명  
Information technology
일반주제명  
Information science
일반주제명  
Library science
키워드  
Automation
키워드  
Checklist
키워드  
Patient safety
키워드  
Radiation oncology
키워드  
Stakeholder engagement
기타저자  
The University of North Carolina at Chapel Hill Health Informatics
기본자료저록  
Dissertations Abstracts International. 86-11B.
전자적 위치 및 접속  
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MARC

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■040    ▼aMiAaPQ▼cMiAaPQ
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■1001  ▼aKwong,  Elizabeth  Choy.
■24510▼aImpact  of  Stakeholder  Engagement  and  Underlying  Factors  on  the  Design,  Evaluation,  and  Knowledge  Transfer  of  Automated  QA  Tools  in  Two  Radiation  Oncology  Departments  Prior  to  Implementation
■260    ▼a[Sl]▼bThe  University  of  North  Carolina  at  Chapel  Hill▼c2025
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2025
■300    ▼a301  p
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  86-11,  Section:  B.
■500    ▼aAdvisor:  Mazur,  Lukasz.
■5021  ▼aThesis  (Ph.D.)--The  University  of  North  Carolina  at  Chapel  Hill,  2025.
■520    ▼aThe  physics  pre-treatment  quality  assurance  (QA)  step  is  the  step  mostly  likely  to  detect  potential  safety  events  in  the  radiation  therapy  process.  However,  there  is  a  need  for  improving  the  physics  pre-treatment  QA  checklist  with  the  process  relying  heavily  on  human  inspection  and  evidence  that  errors  still  occur.  The  purpose  of  this  study  is  to  explore  the  impact  of  stakeholder  engagement  and  underlying  factors  in  the  design  and  evaluation  of  an  automated  physics  pre-treatment  QA  checklist.  This  work  was  done  through  knowledge  transfer  between  two  radiation  oncology  departments  at  the  University  of  North  Carolina  (UNC)  and  the  University  of  California-San  Diego  (UCSD)  prior  to  implementation  by  first  exploring  factors  underlying  the  design,  use,  and  maintenance  of  the  current  physics  pre-treatment  QA  checklists  using  the  Systems  Engineering  Initiative  for  Patient  Safety  (SEIPS)  framework.  An  automated  physics  pre-treatment  QA  checklist  ("PhyCheck")  prototype  was  developed  at  UNC,  which  demonstrated  increased  usability  and  decreased  cognitive  workload  (CWL)  compared  to  the  current  checklist.  Safety  events  captured  using  the  current  physics  pre-treatment  QA  checklist  and  qualitative  data  on  automation  and  safety  demonstrate  the  potential  for  automation  to  catch  safety  events  and  outline  key  barriers  for  automation.  The  engagement  of  stakeholders  led  to  knowledge  transfer  between  institutions  and  both  institutions  meeting  the  threshold  for  pre-implementation  outcomes.  This  study  highlights  the  importance  of  stakeholder  involvement  and  engagement  and  outlines  the  underlying  factors  in  the  design,  evaluation,  and  pre-implementation  of  health  technology  tools.
■590    ▼aSchool  code:  0153.
■650  4▼aHealth  sciences
■650  4▼aInformation  technology
■650  4▼aInformation  science
■650  4▼aLibrary  science
■653    ▼aAutomation
■653    ▼aChecklist
■653    ▼aPatient  safety
■653    ▼aRadiation  oncology
■653    ▼aStakeholder  engagement
■690    ▼a0566
■690    ▼a0489
■690    ▼a0723
■690    ▼a0399
■71020▼aThe  University  of  North  Carolina  at  Chapel  Hill▼bHealth  Informatics.
■7730  ▼tDissertations  Abstracts  International▼g86-11B.
■790    ▼a0153
■791    ▼aPh.D.
■792    ▼a2025
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17356975▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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