A taskforce for national improvement of innovation implementation in radiotherapy
Jacobs,Maria Martinussen,H Swart,R Gubbels,A Dirkx,M de Boer,H Speijer,G Mondriaan,K de Jaeger,K Cuijpers,J
Jacobs,Maria
Martinussen,H
Swart,R
Gubbels,A
Dirkx,M
de Boer,H
Speijer,G
Mondriaan,K
de Jaeger,K
Cuijpers,J
Abstract
Background and purpose: Previous research among Dutch radiotherapy centres (RTCs) showed that 69% of innovations was simultaneously implemented in 7/19 centres, with a success rate of 51%. However, no structure to share lessons learned about the implementation process existed. Therefore, a national Taskforce Implementation (TTI) was raised to stimulate efficient implementation of innovations. The aim of the current study was to develop and pilot-evaluate a website for facilitating mutual learning on implementation issues. Material and methods: First, we made an inventory in all Dutch RTCs on their 10 most valuable innovations between 2019 and 2022. In-depth interviews, structured according to the Consolidated Framework for Implementation Research, were performed on the four most mentioned topics. A website was built, and pilot evaluated 1 year after the launch, using a qualitative survey amongst the TTI members. Results: In 13/18 centres, 19 interviews were conducted on 1) automation, 2) patient participation, 3) adaptive radiotherapy 4) surface guided radiotherapy and tracking. Most innovations (13/16) were implemented with a delay, with many comparable challenges: e.g. shortage of personnel (7/16) and prioritization of projects (9/16). The website allows users to upload and search for projects, including implementation experiences. After 1 year, 14 projects were uploaded. The qualitative evaluation was largely positive with room for improvement, i.e.75 % would recommend the website to others. Conclusion: This study showed that RTCs experience comparable challenges when implementing innovations, thereby underlining the need for a platform to share implementation-lessons learned. The first concept of this platform was evaluated positively.
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Copyright © 2024 The Author(s). Published by Elsevier B.V. All rights reserved.
Date
2024-03
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Research Projects
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Jacobs, M, Martinussen, H, Swart, R, Gubbels, A, Dirkx, M, de Boer, H, Speijer, G, Mondriaan, K, de Jaeger, K, Cuijpers, J, Mast, M, de Vreugt, F & Boersma, L 2024, 'A taskforce for national improvement of innovation implementation in radiotherapy', Radiotherapy and Oncology, vol. 192, 110105. https://doi.org/10.1016/j.radonc.2024.110105
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info:eu-repo/semantics/openAccess