916 / 1542
Other Accidents
•
Bad interpretation of physical units (Costa Rica, 1996)
•
115 patients, 17 died
•
Bad interpretation of unit of time
•
0.3 minute: 30 seconds?
•
Observation of non-usual severe reactions (skin burnt, abdominal
pain, diarrhea, etc)
•
Bad calculation of MUs for wedged beams
•
France 2004-2005
•
Several hundreds of patients (+8%), 23 over-irradiated severely (+20 à
30%), 5 died
•
Misunderstanding between 2 wedge techniques (hard and dynamic
wedge)