2016 Risk Course Book

50

Lessons to learn

 The experienced planner supervised and checked the plan (i.e. checking her/him self)

 No instructions for putting values into the form, Old form

 Could have been avoided by independent check of MU

 In-vivo dosimetry may have identified the erroneous dose

 Lack of staff (6-7000 patient annually)

2016-10-05

T Knöös