RE: Gamma Knife misadministration

["Wes Van Pelt" <wesvanpelt@ATT.NET>]

Walter,



Thanks for informing us on Radsafe.



This is the kind of timely communication that makes Radsafe so terrific.



Regards,

Wes

Wesley R. Van Pelt, PhD, CIH, CHP

Wesley R. Van Pelt Associates, Inc.

Consulting in Radiation Safety and Environmental Radioactivity.

http://home.att.net/~wesvanpelt/Radiation.html

mailto:wesvanpelt@att.net



-----Original Message-----

From: owner-radsafe@list.vanderbilt.edu

[mailto:owner-radsafe@list.vanderbilt.edu]On Behalf Of Walter cofer

Sent: Saturday, November 02, 2002 10:15 AM

To: 'Pombier, Edward C.'; radsafe@list.vanderbilt.edu

Subject: Gamma Knife misadministration



Ed & list members -



I don't have a lot of details, but I was informed on Thursday that my

agency has received a misadministration notification from a Florida

hospital involving multiple Gamma Knife patients, and the cause appears to

be tied to use of printer software, of all things.  I know a little more,

but any further info would be premature because my agency has not

investigated it yet.  We are sending an investigation team out early next

week, and I'm sure that additional details will be forthcoming.



- Walter Cofer

FL Bureau of Radiation Control







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