[ RadSafe ] Medical Incident

Brent Rogers brent.s.rogers at gmail.com
Thu Sep 5 16:03:06 CDT 2013


'Egregious' has a low threshold in some vocabularies.  Too much cable-news viewing it seems.

Brevity alert: Sent from my iPad

On 05/09/2013, at 10:57, Jeff Terry <terryj at iit.edu> wrote:

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> On Sep 4, 2013, at 10:28 AM, William Lipton <doctorbill34 at gmail.com> wrote:
> 
>> This was an egregious error, regardless of the dose consequences,
>> reportability, or semantics.  Even the most rudimentary QA program would
>> have prevented this.
>> 
>> For power reactors, NRC violations are based on potential as well as actual
>> consequences, i.e., "loss of control."   I hope that you folks appreciate
>> the leniency you receive from the regulators.
>> 
>> Bill Lipton
>> It's not about dose, it's about trust.
>> On Sep 4, 2013 10:26 AM, "Kent Lambert" <kent.lambert at drexel.edu> wrote:
>> 
>>> Bill,
>>> 
>>> The wrong patient was not treated, a patient was given the wrong
>>> radiopharmaceutical.  Also, is the frequency of medical mistakes involving
>>> the administration of radiopharmaceuticals more or less frequent than the
>>> frequency of mistakes involving non-radioactive drugs?  Hypothetically
>>> speaking, I would be much more worried about accidentally getting a
>>> penicillin based antibiotic (to which I am allergic).  The consequences in
>>> this case could be fatal (as opposed to a theoretical slight increase in


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