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Session Item

Friday
May 07
08:45 - 10:00
Brachytherapy physics 2030 – Enhanced application and in-vivo treatment verification
The use of complex techniques and in-vivo treatment verification in brachytherapy is expanding. In this symposium, the current status of customized applicator, and treatment plan creation will first be reviewed. Then electromagnetic tracking technology, its limitations and potential benefits, and current clinical use will be discussed. After this, the benefits, current practical challenges, and clinical applications of in-vivo source tracking with point dosimeters will be reviewed. The session will conclude with an overview of in-vivo source tracking with imaging panels and fluoroscopy, a discussion of published literature, results from phantom studies, and the current state of the technology.
Symposium
00:00 - 00:00
RAMSI: patients satisfaction by Smile In Totem in a mono-institutional experience in radiotherapy
PO-1295

Abstract

RAMSI: patients satisfaction by Smile In Totem in a mono-institutional experience in radiotherapy
Authors: D'Aviero|, Andrea(1)*[andreadav89@gmail.com];Chiloiro|, Giuditta(2);Dinapoli|, Loredana(3);Zane|, Elisa(4);Tenore|, Angela(3);Balducci|, Mario(2);Gambacorta|, Maria Antonietta(2);Mattiucci|, Gian Carlo(2);Malavasi|, Pierluigi(4);Valentini|, Vincenzo(2);
(1)Università Cattolica del Sacro Cuore, Dipartimento di Diagnostica per Immagini- Radioterapia Oncologica e Ematologia, Rome, Italy;(2)Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario “A. Gemelli” IRCCS - Dipartimento di Diagnostica per Immagini- Radioterapia Oncologica e Ematologia, Rome, Italy;(3)Fondazione Policlinico Universitario “A. Gemelli” IRCCS, Dipartimento di Diagnostica per Immagini- Radioterapia Oncologica e Ematologia, Rome, Italy;(4)Università Cattolica del Sacro Cuore, ASA - Alta Scuola per l'Ambiente, Brescia, Italy;
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Purpose or Objective

The measures of patients experience and satisfaction represent a topic in Europe as health care quality indicator.
The evaluation of the person-patient’s experience may contribute to the monitoring of quality and safety of services as well as benchmarking hospital performance and monitor effectiveness of interventions. 
Furthermore, patient’s satisfaction may influence the perception of quality of care and impact on the treatment response.
The aim of this experience was to collect patients experience during radiotherapy treatment and to evaluate the feasibility and the impact of Smile IN technology in the radiation oncology department.

Material and Methods

In our radiation oncology department from October 2017 physical Smile IN Terminals were installed in different area of the ward related to the course of care for patients.
Data collection was performed with HappyOrNot technology through four different faces and assessment points ("very positive", "positive", "negative" and "very negative"). 
The SI Terminals evaluated the offered reception, punctuality, professionalism and comfort. 
The system generated weekly and monthly report with the time slots, the percentages of satisfaction of the service, trends according to time slots, days and with reference to each question, providing both a fragmented and a global data.

Results

Proposed questions were “Did you feel welcomed as a person today?" for reception; "Has your appointment been adhered to?”, "Was the visiting hours respected?”, “Was your in-therapy visiting hours respected?” and “Has the treatment schedule been adhered to?” for punctuality; "Have they been competent with you today?" for professionalism and “Are the environments comfortable?" for comfort.
Among all investigated areas an overall total of 42755 voting were registered as reported in Table 1.
Table 1
Patients could follow RAMSI''s trends on a notice board in the ward, on the Department Facebook page and website (Figure 1).
The results of the RAMSI system surveys contributed in our experience to the implementation of specific corrective actions.
Figure 1


Conclusion

The RAMSI project is the first reported application of SI Terminals in clinical practice, especially in radiotherapy with the aim of collecting perception of quality of received services and assistance. 
The evaluation of health structures through RAMSI could led to a “patient-focused” definition of the quality of assistance.
This type of evaluation should be considered as a relevant opportunity to improve health services in order to guarantee patients wellness and satisfaction.