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Discovery of accident
“Planner X” calculated another plan of the same kind and made the same
mistake
This time, the error was discovered by a senior checker (1st of Feb ‘’06)
The same day, the error in calculations for Lisa Norris was also identified
The total dose to Lisa Norris from the Right and Left Lateral head fields was
55.5 Gy (19 x 2.92 Gy)
She died nine months after the accident
Probably due to recurring disease
48
2016-10-05
T Knöös