Improving thyroid function monitoring in head and neck cancer patients: A quality improvement study
| Autor: | Nupur Bhatt, Catherine Concert, Kenneth S. Hu, Babak Givi, Binhuan Wang, Zujun Li, Emily Kamen, Zahrah Taufique |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Quality management medicine.medical_treatment Psychological intervention Thyroid Gland 030209 endocrinology & metabolism Thyroid Function Tests 03 medical and health sciences 0302 clinical medicine medicine Humans Head and neck Radiation Injuries Aged Aged 80 and over business.industry Thyroid Head and neck cancer Health Plan Implementation Evidence-based medicine Middle Aged medicine.disease Quality Improvement Radiation therapy medicine.anatomical_structure Otorhinolaryngology Head and Neck Neoplasms 030220 oncology & carcinogenesis Physical therapy Female Thyroid function business Program Evaluation |
| Zdroj: | The LaryngoscopeBIBLIOGRAPHY. 130(11) |
| ISSN: | 1531-4995 |
| Popis: | OBJECTIVE To investigate and improve compliance of thyroid function monitoring in head and neck cancer patients who received radiotherapy to the cervical region before and after instituting quality improvement interventions. METHODS Using the Plan, Do, Study, Act (PDSA) methodology, patients with head and neck malignancies who received radiotherapy to the cervical region from 2013-2015 were identified at a tertiary medical center. The status of the patients' thyroid monitoring and related characteristics were recorded. A quality improvement project was subsequently implemented by data sharing and providing feedback to practitioners involved in head and neck cancer care and creating a tracking database for all patients who received radiotherapy to the neck. After implementation of these interventions, data was collected on patients meeting the inclusion criteria from 2015-2017. RESULTS One hundred fifty-six patients met criteria pre-intervention and ninety-eight patients met criteria post-intervention. Compliance of thyroid monitoring went up from 34% to 80% after interventions (P |
| Databáze: | OpenAIRE |
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