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[Fwd: Re: medical misadministrations]
-------- Original Message --------
Subject: Re: medical misadministrations
Date: Wed, 05 Sep 2001 09:00:09 -0400
From: "Thomas J Savin " <tjsav@lycos.com>
Reply-To: tjsav@lycos.com
Organization: Lycos Mail (http://mail.lycos.com:80)
To: "William V Lipton" <liptonw@dteenergy.com>
Sure, - I really do not know what is being done about this - I saw this
morning that the pharmicist who diluted the chemo therapy drugs may have
done it with two other drugs - so much for establishing public
confidence.
Tom
On Wed, 05 Sep 2001 08:50:25
William V Lipton wrote:
>Many thanx for your response. May I post this to RADSAFE?
>Bill
>
>
>Thomas J Savin wrote:
>
>> HI Bill,
>>
>> This is an excellent question, but I would like to know if there is an estimate of how many incidences go unreported?
>> ---
>> Tom Savin
>>
>> On Wed, 05 Sep 2001 07:31:46
>> William V Lipton wrote:
>> >I'll dare to use the "e" word, again. There seems to be an epidemic of
>> >medical misadminstrations, that seem mostly due to human error:
>> >
>> >8/7/96 - 10/18/00 - Providence Hospital, Washington, DC - 14
>> >misadministrations where approximately 3000 rads was delivered with
>> >1200-1500 rads prescribed with a Sr-90 eye applicator.
>> >
>> >8/31/01 - St. Mary's Hospital, Rochester, MN - delivered dose from Co-60
>> >gamma knife 39% greater than prescribed due to timer entry error.
>> >
>> >8/31/01 - University of Kansas Hospital, Kansas City, KS - Technician
>> >administered wrong radionuclide to patient.
>> >
>> >(I'm not counting the 8/21/01 misadministration at Wyoming Medical
>> >Center, where the misadministration resulted from highly technical
>> >issues.)
>> >
>> >I'd be interested to know whether the medical hp's are doing anything to
>> >improve human performance in this area.
>> >
>> >BTW: I don't buy the previous excuses, when I raised this issue, that,
>> >"It's not my job." According to the HPS Prospectus, "The Society is a
>> >professional organization whose mission is to promote the practice of
>> >radiation safety..." This seems to be one area where "the practice of
>> >radiation safety" seems to need improvement.
>> >
>> >The opinions expressed are strictly mine.
>> >It's not about dose, it's about trust.
>> >
>> >Bill Lipton
>> >liptonw@dteenergy.com
>> >
>> >
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>> >
>> >
>>
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>
>
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