Re: medical misadventures

["Lily Lodhi" <lodhil@MAIL.TEMPLE.EDU>]

Dear Bill:



Thank you for sharing the information regarding medical mishap.  I immediately shared them with my medical colleague.  As RSO I strongly believe that the review of this type of event would teach the staff to be more diligent in performing their routine repeated tasks. In addition I discuss the related events with the staff during my annual Radiation Safety Training. We discuss the event and talk about how it could be avoided which in many cases it takes couple of seconds of their time to review their work before they proceed.  So far this method has been working. 



Regards,



Lily Lodhi





>>> William V Lipton <liptonw@DTEENERGY.COM> 9/6/2001 7:18:16 AM >>>

Virtually every major event at a power reactor is reviewed by other

power reactors to determine whether they are vulnerable to a simlar

event, and corrective actions are taken, as appropriate.  I don't see

that happening in the medical hp community.  Informal information

exchange is important, but you should also have procedures that assure

documented reviews of key events.



I didn't intend to imply laxity, except for those who claim, "It's not

my job.", or "I don't check the calculations, I just sign off on them!"



In the power reactor industry, this would be considered an "opportunity

for improvement."  And, yes, "I'm here to help you."



The opinions expressed are strictly mine.

It's not about dose, it's about trust.



Bill Lipton

liptonw@dteenergy.com 



julian ginniver wrote:



> Bill,    I find that I can't agree with your suggestion that because

> event occur in the medical applications of radiation and radioactive

> material that these events are indicative of laxity on the part of our

> colleagues in this area.  Within the nuclear industry there are

> ongoing efforts to highlight the lessons we can learn from the events

> that continue to occur.  Does this indicate a lack of diligence on our

> part?  We can only take heart from our obvious desire to improve and

> use formal and informal routes (such as Radsafe) to do what we can to

> highlight these events.  What I would like to know is if, as you

> suggested, these events are not widely promulgated through the medical

> profession.  As you so rightly pointed out we should endevour to make

> everyone aware of the lessons that can be learnt. Best

> Regards            Julian Ginniver



************************************************************************

You are currently subscribed to the Radsafe mailing list. To unsubscribe,

send an e-mail to Majordomo@list.vanderbilt.edu  Put the text "unsubscribe

radsafe" (no quote marks) in the body of the e-mail, with no subject line.