1269 / 1609
ICRP Publication 97 (HDR)
•
Handling and Transport of Sources
•
Inadequate Structural Shielding
•
Sources in transit (remaining in the safe, in the patient,
along the transfer tubes)
•
Treatments given to wrong patients
•
Incorrect prescription or delivery of dose
•
repeated treatments to the same patient
Origin of the different Events:
Human
Human
Prevention of High-dose-rate Brachytherapy Accidents, Volume 35 No. 2, 2005