Designing an Oncology-Oriented Angiographic Suite Within a Dual-Hospital Network: A Context-Specific Pre-Implementation Framework for Interventional Radiology Workflow, Safety, and Quality Governance

Interventional Radiology (IR) is increasingly integrated into multidisciplinary care pathways and requires organizational models capable of coordinating procedural appropriateness, patient safety, professional responsibilities, and resource allocation across hospital networks. This study aimed to develop a context-specific, pre-implementation, document-based organizational framework for the planned activation of an oncology-oriented angiographic suite at the Presidio Ospedaliero “Mons. R. Dimiccoli” of Barletta within the Azienda Sanitaria Locale Barletta–Andria–Trani (ASL BT) dual-hospital network. The framework was developed through structured analysis of institutional planning and governance documents, document-based contextual assessment of the two hospital sites, and systematic translation of identified organizational requirements into structural, procedural, governance, safety, and monitoring components. The model was conceptually organized according to the Structure–Process–Outcome framework and normatively aligned with selected international standards relevant to healthcare quality management, risk management, occupational safety, medical-device-related quality processes, and organizational governance. Its theoretical contribution consists of operationalizing the Structure–Process–Outcome model within the pre-implementation design of a network-based IR service, rather than testing, modifying, or validating the theory itself. The resulting framework differentiates emergency and time-dependent IR activity, maintained at the Andria site, from planned elective oncology-oriented angiographic activity at Barletta. It defines network allocation criteria, procedural scope, governance responsibilities, structural and professional requirements, standardized pre-, intra-, and post-procedural pathways, safety architecture, and prospective quality and performance indicators. No post-implementation clinical or organizational outcomes were evaluated, and the framework has not undergone external validation. It should therefore be interpreted as a context-specific service-design model whose feasibility, performance, and applicability to other healthcare settings require prospective evaluation and local adaptation.