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Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system.

Ford E, Smith K, Harris K, et al. Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system. Med Phys. 2012;39(11):6968-71. doi:10.1118/1.4760774.

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January 16, 2013
Ford E, Smith K, Harris K, et al. Med Phys. 2012;39(11):6968-71.
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Analysis of voluntarily reported errors in radiation therapy treatments resulted in systematic changes to treatment planning and delivery. After the system improvements were implemented, no similar errors occurred and multiple near misses were detected before patients were affected.

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Ford E, Smith K, Harris K, et al. Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system. Med Phys. 2012;39(11):6968-71. doi:10.1118/1.4760774.