Improving Implementation Of Standardized Structured Reporting: Development Of An Implementation Toolkit.

265 Background: Although standardized structured reporting (SSR) usage is recommended in national and international evidence-based guidelines (warranting quality & safety), actual use varies widely in oncology related medical disciplines. Previous research showed multiple impeding factors regarding SSR-implementation. The aim of this study is to develop an implementation toolkit, based on the impeding factors found. Methods: We organized an expert meeting a. to explore experts’ opinions on the impeding factors found in a previous study; and b. to discuss possibilities for a tailored implementation toolkit. The expert-panel consisted of three pathologists, three multidisciplinary-team (MDT) members, three patient organization delegates, two delegates of the Dutch nationwide network and registry of histo- and cytopathology(PALGA), two delegates of the Netherlands Comprehensive Cancer Organization (IKNL), one PALGA-liaison, and one implementation expert. A literature study was performed to obtain evidence on the most effective implementation tools. All selected tools were included in an implementation toolkit. Results: The expert meeting and literature study yielded eight tools to be developed: 1. Two communication tools of both the benefits of SSR and of the development and updates of SSR-templates; 2. Consultation and simulation sessions with MDT-members to optimize the development and feedback process of the standardized structured reports and to increase familiarity with these reports; 3. A tailored e-learning for pathologists to increase the familiarity, knowledge and skills of SSR-usage; 4. IT-solutions, such as incorporation of speech recognition to improve the usability and content of both the SSR templates and the generated reports; 5. A sustainable feedback-system to support SSR-template usage; 6. Agenda setting success to encourage use of SSR. Conclusions: Experts proposed several tools to improve the implementation of SSR. The next step is to test this toolkit in a pilot study.