ehs logo 
Misadministration


It is the goal of the medical center to maintain the highest possible standards in the protection of our patients from improper application of radiation or radioactive material.  A medical misadministration can occur when a patient is administered a radiophamracutical or radiobiologic.  A medical misadministration can also occur during the performance of external beam treatments or brachytherapy procedures.
A medical misadministration can take many different forms.  The New York City Department of Health describes nine (9) scenarios it considers medical misadministrations:

  1. A radiopharmaceutical, radiobiologic or radiation from a source other than the one ordered
  2. A radiopharmaceutical, radiobiologic or radiation to the wrong person
  3. A radiopharmaceutical, radiobiologic or radiation administered by a route other than the route prescribed by the authorized physician
  4. A radiopharmaceutical, radiobiologic or radiation administered to a part of the body other than the part of the body specified by the authorized physician
  5. An activity of a diagnostic radiopharmaceutical or radiobiologic differing from the prescribed activity by more than 50%
  6. An activity of a therapeutic radiopharmaceutical or radiobiologic differing from the prescribed activity by more than 10%
  7. A therapeutic radiation dose from any source other than a radiopharmaceutical, radiobiologic or brachytherapy source such that errors in computation, calibration, time of exposure, treatment geometry or equipment malfunction result in a calculated total treatment dose differing from the final prescribed total treatment dose ordered by more than 10%
  8. A therapeutic radiation dose from a brachytherapy source such that errors in computation, calibration, treatment time, source activity, source placement or equipment malfunction result in a calculated total treatment dose differing from the final prescribed total treatment dose ordered by more than 10%
  9. A therapeutic radiation dose in any fraction of a fractionated treatment such that the administered dose in the individual treatment or fraction differs from the dose ordered for that individual treatment or fraction by more than 50%

Radiation Safety must be notified immediately when a medical misadministration is suspected.