TABLE 2

Number of Incidents

Error typeIncidents (n)
TOP noncompliance179 (85.6%)
 Patient interview TOP26 (12.4%)
  Noncompliance19 (9.1%)
  Errors in request form5 (2.4%)
  Failure to check for pregnancy/breastfeeding2 (1.0%)
 Procedural TOP153 (73.2%)
  Handover error4 (1.9%)
  Staff error14 (6.7%)
  Errors in internal systems3 (1.4%)
  Lack of procedure matching15 (7.2%)
  Incorrect dose15 (7.2%)
  Incorrect radiopharmaceutical76 (36.4%)
  Lack of intravenous access19 (9.1%)
  Request form ambiguity3 (1.4%)
  Lack of quality control4 (1.9%)
Booking errors9 (4.3%)
 Errors in internal or external systems5 (2.4%)
 Use of nonoriginal request form4 (1.9%)
Other errors21 (10.0%)
 Inadequate student/new-graduate supervision6 (2.9%)
 Inadequate training4 (1.9%)
 Exposure of staff or public to radiation1 (0.5%)
 Spillage of radiopharmaceutical10 (4.8%)
Total209