A Systematic Scoping Literature Review of Incorporating a Total Quality Culture Within Radiotherapy Staffing Models: A Management Strategy to Improve Patient Safety and Quality of Care in Radiation Therapy Departments

摘要

Background: Radiation therapy (RT) staffing models have traditionally been based on the number of linear accelerators available at cancer centers (i.e., task-focused). RT treatments are becoming increasingly complex and a novel staffing model should be established that incorporates a total quality culture (TQC) to promote process-focused performance by using a patient-centered approach throughout die entire organization.Objectives: The objective of this article was to conduct a systematic scoping literature review of publications that study TQC within hospitals. The second objective was to specifically identify the publications that report on the relationship between TQC and tiieir current RT staffing model.Methods. and Results: A systematic scoping literature review was conducted in July 2010 using the Web of Science, Pub Med, and Google Scholar databases. Nine studies were identified that discussed , TQC in hospitals. Five of the nine studies found that a TQC is positively correlated witli patient satisfaction in hospitals. The remaining four studies discussed RT staffing based on the number of linear accelerators and did not mention a TQC.