{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T02:14:39Z","timestamp":1785204879334,"version":"3.55.0"},"reference-count":34,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2022,8,3]],"date-time":"2022-08-03T00:00:00Z","timestamp":1659484800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["aapm.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Applied Clin Med Phys"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Radiotherapy treatment planning is a complex process with multiple, dependent steps involving an interdisciplinary patient care team. Effective communication and real\u2010time tracking of resources and care path activities are key for clinical efficiency and patient\u00a0safety.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>We designed and implemented a secure, interactive web\u2010based dashboard for patient care path, clinical workflow, and resource utilization management. The dashboard enables visualization of resource utilization and tracks progress in a patient's care path from the time of acquisition of the planning CT to the time of treatment in real\u2010time. It integrates with the departmental electronic medical records (EMR) system without the creation and maintenance of a separate database or duplication of work by clinical staff. Performance measures of workflow were\u00a0calculated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The dashboard implements a standardized clinical workflow and dynamically consolidates real\u2010time information queried from multiple tables in the EMR database over the following views: (1) CT Sims summarizes patient appointment information on the CT simulator and patient load; (2) Linac Sims summarizes patient appointment times, setup history, and notes, and patient load; (3) Task Status lists the clinical tasks associated with a treatment plan, their due date, status and ownership, and patient appointment details; (4) Documents provides the status of all documents in the patients' charts; and (5) Diagnoses and Interventions summarizes prescription information, imaging instructions and whether the plan was approved for treatment. Real\u2010time assessment and quantification of progress and delays in a patient's treatment start were\u00a0achieved.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study indicates it is feasible to develop and implement a dashboard, tailored to the needs of an interdisciplinary team, which derives and integrates information from the EMR database for real\u2010time analysis and display of resource utilization and clinical workflow in radiation oncology. The framework developed facilitates informed, data\u2010driven decisions on clinical workflow management as we seek to optimize clinical efficiency and patient\u00a0safety.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acm2.13610","type":"journal-article","created":{"date-parts":[[2022,8,3]],"date-time":"2022-08-03T08:44:40Z","timestamp":1659516280000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Real\u2010time analysis and display of quantitative measures to track and improve clinical workflow"],"prefix":"10.1002","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7982-7814","authenticated-orcid":false,"given":"Reshma","family":"Munbodh","sequence":"first","affiliation":[{"name":"Department of Radiation Oncology Alpert Medical School of Brown University  Providence Rhode Island USA"},{"name":"Department of Radiation Oncology Columbia University Irving Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toni M.","family":"Roth","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Alpert Medical School of Brown University  Providence Rhode Island USA"},{"name":"Department of Radiation Oncology University of Washington in St. Louis  St. Louis Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kara L.","family":"Leonard","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Alpert Medical School of Brown University  Providence Rhode Island USA"},{"name":"Department of Radiation Oncology Rhode Island Hospital  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert C.","family":"Court","sequence":"additional","affiliation":[{"name":"Institute for Adaptive and Neural Computation School of Informatics University of Edinburgh Edinburgh UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Utkarsh","family":"Shukla","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Alpert Medical School of Brown University  Providence Rhode Island USA"},{"name":"Department of Radiation Oncology Rhode Island Hospital  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Andrea","sequence":"additional","affiliation":[{"name":"Lifespan Biostatistics Epidemiology and Research Design Core Rhode Island Hospital Providence Rhode Island USA"},{"name":"OHSU\u2010PSU School of Public Health Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marissa","family":"Gray","sequence":"additional","affiliation":[{"name":"School of Engineering Brown University Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregg","family":"Leichtman","sequence":"additional","affiliation":[{"name":"Clario  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric E.","family":"Klein","sequence":"additional","affiliation":[{"name":"Department of Radiation Oncology Alpert Medical School of Brown University  Providence Rhode Island USA"},{"name":"Department of Radiation Oncology Rhode Island Hospital  Providence Rhode Island USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,8,3]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"ASTRO.Safety is no accident: a framework for quality radiation oncology care.https:\/\/www.astro.org\/Patient\u2010Care\u2010and\u2010Research\/Patient\u2010Safety\/Safety\u2010is\u2010no\u2010Accident 2019. 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