TABLE 1

Definitions of Errors

Error typeCategorySubcategoryDefinition
TOP noncompliancePatient interview TOPQuestions noncomplianceFailure to ask “correct patient, correct site, correct procedure” questions
Request formErrors due to incorrect patient details on request form (e.g., wrong patient sticker)
Pregnancy/breastfeedingErrors due to failure to check for pregnancy and breastfeeding
Procedural TOPHandoverProcedure performed incorrectly because first person fails to properly hand over patient to second person (e.g., provides inadequate information) or second person fails to make appropriate checks
StaffProcedure performed incorrectly because of human error (e.g., radiographer forgets to connect pressure injector to patient’s cannula)
Internal systemsProcedure performed incorrectly because of errors in procedures or systems within the department
Procedure matchingErrors due to failure to match patient presentation to procedure on request form
DoseErrors due to administration of incorrect dose
RadiopharmaceuticalErrors due to administration of incorrect radiopharmaceutical
Intravenous accessErrors due to lack of proper intravenous access
Request formProcedure performed incorrectly because request form was ambiguous
Quality controlProcedure performed incorrectly because staff failed to complete quality control test
Booking errorsInternal and external systemsBooking errors before patient reaches MRS personnel, due to systems outside department (e.g., electronic x-ray requests) or within department (e.g., reception)
Request formBooking errors due to use of duplicate or nonoriginal request form
Other errorsStudents/new graduatesErrors by students or new graduates due to inadequate supervision by MRS personnel
TrainingErrors due to inadequate training on software, equipment, or procedures
Exposure to radiationErrors causing the staff or the public to unintentionally be exposed to radiation
Radiopharmaceutical spillageErrors causing a radiopharmaceutical to unintentionally be spilled
  • MRS = medical radiation science.