1996
DOI: 10.1016/0360-3016(95)02056-x
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Lessons learned from investigations of therapy misadministration events

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Cited by 30 publications
(15 citation statements)
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“…There are many stages throughout the patient journey where incidents might occur. In addition, radiotherapy is becoming increasingly complex and automated with a greater reliance on record-and-verify (R&V) systems, and although transferred automatically, these data should still be checked (5)(6)(7). There is a high expectation of safety in radiotherapy (8).…”
Section: Introductionmentioning
confidence: 99%
“…There are many stages throughout the patient journey where incidents might occur. In addition, radiotherapy is becoming increasingly complex and automated with a greater reliance on record-and-verify (R&V) systems, and although transferred automatically, these data should still be checked (5)(6)(7). There is a high expectation of safety in radiotherapy (8).…”
Section: Introductionmentioning
confidence: 99%
“…Therefore, extreme caution is often exercised during radiotherapy [40][41][42]. However, incidents that compromise patient safety still happen occasionally, caused by either human errors or equipment malfunction [22][23][24][25][26]. The precise number of these medical errors is not known; however these accidents could be fatal and therefore have a huge impact.…”
Section: Reducing Medical Errors In Radiotherapymentioning
confidence: 99%
“…Incidents that compromise patient safety do happen occasionally, caused by either human error or equipment malfunction [9][10][11][12][13]. In the Panama incident [14], 16 patients were severely overexposed to approximately twice the prescribed dose in the late 2000 and early 2001, resulting in eight treatment-related deaths.…”
Section: Introductionmentioning
confidence: 99%