10.10 Medical Administration Errors

Medical administration errors involving a deviation in the administration of radioactive materials or radiation from that prescribed by the authorized user must be recorded and reported according to regulatory requirements.  

Notify EHS immediately upon discovery of any of the following deviations from a prescribed administration:

Errors involving the administration of radioactive material or radiation from radioactive material

  • The total dosage delivered differs from the prescribed dosage by 20 percent or more or falls outside the prescribed dosage range.
  • The fractionated dose delivered differs from the prescribed dose, for a single fraction, by 50 percent or more.
  • The administration of the wrong radioactive material.
  • The administration of radioactive material by the wrong route of administration.
  • The administration of a dose or dosage to the wrong patient or human research subject.
  • The administration of a dose or dosage delivered by the wrong mode of treatment.
  • The administration of a leaking sealed source.
  • Patient or human research subject intervention which alters the prescribed dose or dosage delivered.

Errors involving the administration of radiation from linear accelerators therapy, deep X-Ray therapy, or superficial therapy

  • The total dose delivered differs from the prescribed dose by 20 percent or more.
  • The fractionated dose delivered differs from the prescribed dose for a single fraction by 50 percent or more.

Errors involving the administration of radiation from linear accelerators therapy, deep X-Ray therapy, or superficial therapy 

  • An administration of the wrong treatment modality.
  • An administration to the wrong patient or human research subject.
  • Administration of external beam radiation that results, or will result, in unintended permanent functional damage to an organ or a physiological system as determined by a physician.