{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T17:35:56Z","timestamp":1776879356789,"version":"3.51.2"},"reference-count":29,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,8,24]],"date-time":"2025-08-24T00:00:00Z","timestamp":1755993600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["advancesradonc.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Advances in Radiation Oncology"],"published-print":{"date-parts":[[2026,1]]},"DOI":"10.1016\/j.adro.2025.101895","type":"journal-article","created":{"date-parts":[[2025,11,29]],"date-time":"2025-11-29T01:17:35Z","timestamp":1764379055000},"page":"101895","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of Quality Improvement Interventions on the Efficiency of Treatment Planning Timelines in a Modern Proton Therapy Clinic"],"prefix":"10.1016","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6504-0930","authenticated-orcid":false,"given":"Kristen A.","family":"McConnell","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Valladares","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alonso N.","family":"Gutierrez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Luther","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zachary","family":"Fellows","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorrie","family":"LeGrand","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Chuong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Minesh P.","family":"Mehta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Wroe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.adro.2025.101895_bib0001","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1002\/pro6.1149","article-title":"A review of proton therapy \u2013 Current status and future directions","volume":"6","author":"Mohan","year":"2022","journal-title":"Precis Radiat Oncol"},{"key":"10.1016\/j.adro.2025.101895_bib0002","doi-asserted-by":"crossref","first-page":"1069","DOI":"10.1016\/j.ijrobp.2023.12.041","article-title":"Temporal evolution and diagnostic diversification of patients receiving proton therapy in the United States: A ten-year trend analysis (2012 to 2021) from the National Association for Proton Therapy","volume":"119","author":"Hartsell","year":"2024","journal-title":"Int J Radiat Oncol"},{"key":"10.1016\/j.adro.2025.101895_bib0003","doi-asserted-by":"crossref","first-page":"811","DOI":"10.1097\/01.pas.0000209828.39477.ab","article-title":"Base of skull chordomas in children and adolescents: A clinicopathologic study of 73 cases","volume":"30","author":"Hoch","year":"2006","journal-title":"Am J Surg Pathol"},{"key":"10.1016\/j.adro.2025.101895_bib0004","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1016\/j.semradonc.2020.02.007","article-title":"Proton reirradiation: Expert recommendations for reducing toxicities and offering new chances of cure in patients with challenging recurrence malignancies","volume":"30","author":"Simone","year":"2020","journal-title":"Semin Radiat Oncol"},{"key":"10.1016\/j.adro.2025.101895_bib0005","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1109\/TRPMS.2024.3372189","article-title":"Technological developments and future perspectives in particle therapy: A topical review","volume":"8","author":"Kraan","year":"2024","journal-title":"IEEE Trans Radiat Plasma Med Sci"},{"key":"10.1016\/j.adro.2025.101895_bib0006","article-title":"Accelerators, gantries, magnets and imaging systems for particle beam therapy: Recent status and prospects for improvement","volume":"11","author":"Collings","year":"2021","journal-title":"Front Oncol"},{"key":"10.1016\/j.adro.2025.101895_bib0007","doi-asserted-by":"crossref","DOI":"10.3389\/fonc.2021.780025","article-title":"Future developments in charged particle therapy: Improving beam delivery for efficiency and efficacy","volume":"11","author":"Yap","year":"2021","journal-title":"Front Oncol"},{"key":"10.1016\/j.adro.2025.101895_bib0008","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1016\/j.ijrobp.2017.05.005","article-title":"Empowering Intensity modulated proton therapy through physics and technology: An overview","volume":"99","author":"Mohan","year":"2017","journal-title":"Int J Radiat Oncol Biol Phys"},{"key":"10.1016\/j.adro.2025.101895_bib0009","series-title":"Safety Is No Accident: A Framework for Quality Radiation Oncology Care","year":"2019"},{"key":"10.1016\/j.adro.2025.101895_bib0010","doi-asserted-by":"crossref","first-page":"e571","DOI":"10.1016\/j.ijrobp.2012.01.063","article-title":"Quantitative assessment of workload and stressors in clinical radiation oncology","volume":"83","author":"Mazur","year":"2012","journal-title":"Int J Radiat Oncol"},{"key":"10.1016\/j.adro.2025.101895_bib0011","unstructured":"Rash C, Manning D. Stressed Out. Published online August 2009."},{"key":"10.1016\/j.adro.2025.101895_bib0012","doi-asserted-by":"crossref","first-page":"2537","DOI":"10.1016\/j.nucengdes.2009.06.023","article-title":"Evaluation of operators\u2019 mental workload of human\u2013system interface automation in the advanced nuclear power plants","volume":"239","author":"Jou","year":"2009","journal-title":"Nucl Eng Des"},{"key":"10.1016\/j.adro.2025.101895_bib0014","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1186\/s12912-023-01198-9","article-title":"The relationship between job stress and patient safety culture among nurses: a systematic review","volume":"22","author":"Zabin","year":"2023","journal-title":"BMC Nurs"},{"key":"10.1016\/j.adro.2025.101895_bib0016","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1120\/jacmp.v16i3.5232","article-title":"A special report of current state of the medical physicist workforce \u2014 results of the 2012 ASTRO comprehensive workforce study","volume":"16","author":"Chen","year":"2015","journal-title":"J Appl Clin Med Phys"},{"key":"10.1016\/j.adro.2025.101895_bib0017","doi-asserted-by":"crossref","first-page":"3005","DOI":"10.1120\/jacmp.v11i2.3005","article-title":"Future trends in the supply and demand for radiation oncology physicists","volume":"11","author":"Mills","year":"2010","journal-title":"J Appl Clin Med Phys"},{"key":"10.1016\/j.adro.2025.101895_bib0018","article-title":"Medical physics workforce in the United States","volume":"23","author":"Newhauser","year":"2022","journal-title":"J Appl Clin Med Phys"},{"key":"10.1016\/j.adro.2025.101895_bib0019","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1016\/S0166-4115(08)62386-9","article-title":"Development of NASA-TLX (Task Load Index): Results of empirical and theoretical research","volume":"52","author":"Hart","year":"1988","journal-title":"Adv Psychol"},{"key":"10.1016\/j.adro.2025.101895_bib0020","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1177\/001872089303500401","article-title":"Measuring subjective workload: When is one scale better than many?","volume":"35","author":"Hendy","year":"1993","journal-title":"Hum Factors"},{"key":"10.1016\/j.adro.2025.101895_bib0021","unstructured":"Lee K, Kerns K, Bones R, et al. Development and Validation of the Controller Acceptance Rating Scale (CARS): Results of Empirical Research. Proceedings of the 4th USA\/Europe Air Traffic Management Research and Development Seminar (ATM-2001). Accessed June 13, 2024. http:\/\/atm2001.eurocontrol.fr\/past-seminars\/4th-seminar-santa-fe-nm-usadecember-2001\/papers\/paper_014\/view"},{"key":"10.1016\/j.adro.2025.101895_bib0022","first-page":"18","article-title":"Alarm sounded over declining US radiation professional workforce","volume":"76","author":"Kramer","year":"2023","journal-title":"Phys Today"},{"key":"10.1016\/j.adro.2025.101895_bib0023","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1016\/j.phro.2020.07.001","article-title":"Professional quality of life and burnout among medical physicists working in radiation oncology: The role of alexithymia and empathy","volume":"15","author":"Di Tella","year":"2020","journal-title":"Phys Imaging Radiat Oncol"},{"key":"10.1016\/j.adro.2025.101895_bib0024","first-page":"82","article-title":"Evaluating stress, burnout and job satisfaction in New Zealand radiation oncology departments: Burnout in New Zealand radiation oncology departments","volume":"23","author":"Jasperse","year":"2014","journal-title":"Eur J Cancer Care (Engl)"},{"key":"10.1016\/j.adro.2025.101895_bib0025","doi-asserted-by":"crossref","first-page":"522","DOI":"10.3109\/07357907.2013.830735","article-title":"The \u201cBUONGIORNO\u201d project: Burnout syndrome among young Italian radiation oncologists","volume":"31","author":"Ciammella","year":"2013","journal-title":"Cancer Invest"},{"key":"10.1016\/j.adro.2025.101895_bib0026","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1016\/j.ijrobp.2013.11.234","article-title":"Core physics competencies for proton therapy training of radiation oncology and medical physics residents and fellows","volume":"88","author":"Winey","year":"2014","journal-title":"Int J Radiat Oncol Biol Phys"},{"key":"10.1016\/j.adro.2025.101895_bib0027","doi-asserted-by":"crossref","first-page":"e236","DOI":"10.1002\/mp.14030","article-title":"Strategies for effective physics plan and chart review in radiation therapy: Report of AAPM Task Group 275","volume":"47","author":"Ford","year":"2020","journal-title":"Med Phys"},{"key":"10.1016\/j.adro.2025.101895_bib0028","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1120\/jacmp.v16i3.5431","article-title":"Medical physics practice guideline 4.a: Development, implementation, use and maintenance of safety checklists","volume":"16","author":"De Los Santos","year":"2015","journal-title":"J Appl Clin Med Phys"},{"key":"10.1016\/j.adro.2025.101895_bib0029","doi-asserted-by":"crossref","DOI":"10.1002\/acm2.13895","article-title":"Medical physics practice guideline 4.b: Development, implementation, use and maintenance of safety checklists","volume":"24","author":"Conroy","year":"2023","journal-title":"J Appl Clin Med Phys"},{"key":"10.1016\/j.adro.2025.101895_bib0030","first-page":"61","article-title":"What is strategy?","volume":"74","author":"Porter","year":"1996","journal-title":"Harv Bus Rev"},{"key":"10.1016\/j.adro.2025.101895_bib0031","article-title":"How information gives you competitive advantage","author":"Porter","year":"1985"}],"container-title":["Advances in Radiation Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2452109425001824?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2452109425001824?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T16:36:55Z","timestamp":1776875815000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2452109425001824"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":29,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["S2452109425001824"],"URL":"https:\/\/doi.org\/10.1016\/j.adro.2025.101895","relation":{},"ISSN":["2452-1094"],"issn-type":[{"value":"2452-1094","type":"print"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Impact of Quality Improvement Interventions on the Efficiency of Treatment Planning Timelines in a Modern Proton Therapy Clinic","name":"articletitle","label":"Article Title"},{"value":"Advances in Radiation Oncology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.adro.2025.101895","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Author(s). Published by Elsevier Inc. on behalf of American Society for Radiation Oncology.","name":"copyright","label":"Copyright"}],"article-number":"101895"}}