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Journal of Nuclear Medicine Technology

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Research ArticleQuality Case Study

Root Cause Analysis of Na131I Contamination

Jitesh Dhingra, Cesar Santana, John Harvey, Amelia Miller, Ariel Benton, Meguewell Childs and Raghuveer Halkar
Journal of Nuclear Medicine Technology December 2021, 49 (4) 350-353; DOI: https://doi.org/10.2967/jnmt.121.262492
Jitesh Dhingra
1Grady Memorial Hospital, Atlanta, Georgia; and
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Cesar Santana
1Grady Memorial Hospital, Atlanta, Georgia; and
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John Harvey
2West Physics, Atlanta, Georgia
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Amelia Miller
2West Physics, Atlanta, Georgia
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Ariel Benton
1Grady Memorial Hospital, Atlanta, Georgia; and
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Meguewell Childs
1Grady Memorial Hospital, Atlanta, Georgia; and
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Raghuveer Halkar
1Grady Memorial Hospital, Atlanta, Georgia; and
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Figures

  • FIGURE 1.
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    FIGURE 1.

    Policy and protocol for radioiodine therapy for hyperthyroidism.

  • FIGURE 2.
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    FIGURE 2.

    (A) Injecting Na131I into center of inner small capsule. (B) Slipping upper half of large capsule over bottom half to completely cover small capsule, which is then gently pushed down until locked.

  • FIGURE 3.
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    FIGURE 3.

    Sequence of events on day of radioiodine therapy contamination.

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    FIGURE 4.

    Sequential corrective actions taken for each cause and effect identified while performing root cause analysis.

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Journal of Nuclear Medicine Technology: 49 (4)
Journal of Nuclear Medicine Technology
Vol. 49, Issue 4
December 1, 2021
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Root Cause Analysis of Na131I Contamination
Jitesh Dhingra, Cesar Santana, John Harvey, Amelia Miller, Ariel Benton, Meguewell Childs, Raghuveer Halkar
Journal of Nuclear Medicine Technology Dec 2021, 49 (4) 350-353; DOI: 10.2967/jnmt.121.262492

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Root Cause Analysis of Na131I Contamination
Jitesh Dhingra, Cesar Santana, John Harvey, Amelia Miller, Ariel Benton, Meguewell Childs, Raghuveer Halkar
Journal of Nuclear Medicine Technology Dec 2021, 49 (4) 350-353; DOI: 10.2967/jnmt.121.262492
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  • Article
    • Abstract
    • QUALITY ANALYSIS
    • CORRECTIVE ACTION
    • VERIFICATION OF EFFECTIVENESS
    • DISCLOSURE
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Keywords

  • root cause analysis
  • Na131I contamination
  • radioiodine therapy
  • hyperthyroidism
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