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patient data exchange

Patient irradiated using data

of another patient

patient A called but

patient B entered

change of teams during

the treatment session

incorrect verification of

the patient

Patient

misheard his

name

Patient was

waiting for a long

time, crowded

area

Patient was

deaf

The patient was already

in the room and the

second team thought that

the first team already

checked

the

communication

was incorrect,

time was not

enough

Programme

was too full

a machine

failure

to many

things to do

during the

treatment

Patient was

called

through the

intercom

TD

PRF

HRC

OP

OP

OM

TD

OM