Impact of Proton Therapy Implementation on Processes, Patient Satisfaction, and Technology Use in a Radiation Therapy Department

This study provides the first quantitative assessment of introducing PT in an ambidextrous, ambitious center that also runs PhT. Incident profiles shifted toward human-related errors in PhT and organizational issues in PT, with no lasting change in patient satisfaction. In conclusion, successful adoption requires stronger preparation and training, early patient engagement, and proactive planning for quality control, frequent updates, and lower initial uptime in partnership with vendors.