Number of Incidents
Error type | Incidents (n) |
TOP noncompliance | 179 (85.6%) |
Patient interview TOP | 26 (12.4%) |
Noncompliance | 19 (9.1%) |
Errors in request form | 5 (2.4%) |
Failure to check for pregnancy/breastfeeding | 2 (1.0%) |
Procedural TOP | 153 (73.2%) |
Handover error | 4 (1.9%) |
Staff error | 14 (6.7%) |
Errors in internal systems | 3 (1.4%) |
Lack of procedure matching | 15 (7.2%) |
Incorrect dose | 15 (7.2%) |
Incorrect radiopharmaceutical | 76 (36.4%) |
Lack of intravenous access | 19 (9.1%) |
Request form ambiguity | 3 (1.4%) |
Lack of quality control | 4 (1.9%) |
Booking errors | 9 (4.3%) |
Errors in internal or external systems | 5 (2.4%) |
Use of nonoriginal request form | 4 (1.9%) |
Other errors | 21 (10.0%) |
Inadequate student/new-graduate supervision | 6 (2.9%) |
Inadequate training | 4 (1.9%) |
Exposure of staff or public to radiation | 1 (0.5%) |
Spillage of radiopharmaceutical | 10 (4.8%) |
Total | 209 |