Re: therapeutic I-131 dose given to wrong patient

[William V Lipton <liptonw@dteenergy.com>]

I was not pointing a finger outward or anywhere else, and am disappointed in
your response.  I would not take any comfort in not seeing a "super abundance
of these kinds of reports," and would be trying to gather some lessons
learned from every event.  It seems pointless to calculate treatment planning
and shielding to a gnat's eyelash while maintaining that guarding against
misadministrations isn't of any concern.

The opinions expressed are strictly mine.
It's not about dose, it's about trust.

Bill Lipton
liptonw@dteenergy.com

Robert A Scott wrote:

> On Tue, 10 Aug 1999 06:44:40 -0500 (CDT) William V Lipton
> <liptonw@dteenergy.com> writes:
> >All of you medical HP's?  What's going on?
>
> WORK IS WHAT'S GOING ON!  HAVE YOU SUDDENLY DISCOVERED WHAT WE ALL HAVE
> KNOWN FOR SOME TIME, THAT MISTAKES DO OCCUR INVOLVING THE ROUTINE MEDICAL
> USE OF RADIOACTIVE MATERIAL?
>
> Medical HP's don't usually work with the patients in Nuclear Medicine;
> we do try very hard to help the techs, to train the techs in Rad Safe
> methods, and monitor the techs in their work.  And the techs generally do
> an excellent job.  That's why you don't see a super abundance of these
> kinds of reports.  Your question above left me with the impression that
> you thought something untoward was happening to, with or by medical HPs!
> Remember that frequently when one finger is pointed outward there are
> four pointing back in the 180 degree direction.
>
> Bob Scott, RPO
> Roger Williams Medical Center
> Providence, Rhode Island
> bobscottchp@juno.com
>
> >| AGREEMENT STATE REPORT OF A MEDICAL MISADMINISTRATION AT HERMANN
> >HOSPITAL IN |
> >| HOUSTON, TEXAS  (ABNORMAL
> >OCCURRENCE)                                        |
> >|
> >|
> >| The following text is a portion of a facsimile received from the
> >Texas       |
> >| Department of Health Bureau of Radiation
> >Control:                            |
> >|
> >|
> >| "Incident 7492 - Texas Licensee 650 - Texas is investigating.
> >[Abnormal     |
> >| Occurrence] criteria
> >applies."                                               |
> >|
> >|
> >| "INITIAL NOTIFICATION OF THERAPY MISADMINISTRATION
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