Implementation of a Novel Remote Physician SBRT Coverage Process during the Coronavirus Pandemic

Alex T Price; Lauren E Henke; Borna Maraghechi; Taeho Kim; Matthew B Spraker; Geoffrey D Hugo; Clifford G Robinson; Nels C Knutson

Remote SBRT physician coverage was successfully used for 14 out of the first sequential 15 treatment fractions. We observed occurrence of three system failures from our pre-determined set of potential failure modes during the first 15 cases implementing remote SBRT coverage. The first failure was a near-miss for treatment time out (case description and patient identification), which was not initially performed as planned prior to setup confirmation (preferred timing), but was detected and performed prior to delivery. The second failure was a distracted physician during remote SBRT coverage. This was detected by the treating therapists, who reminded the physician to not multitask during SBRT, with correction prior to delivery. The final failure was a treating physician being uncomfortable with visualization and ability to communicate changes for an abdominal gating case during the confirmation of . CC-BY-NC-ND 4.0 International license It is made available under a author/funder, who has granted medRxiv a license to display the preprint in perpetuity.