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Journal Article > Study
Ott LK, Pinsky MR, Hoffman LA, et al. BMJ Qual Saf. 2012;21:509-518.
This cohort study characterizes the types of emergencies that necessitated a medical emergency team evaluation of an inpatient in the radiology department. A case of an ultimately fatal adverse event that occurred while a patient was being transported from an inpatient unit to radiology is discussed in this AHRQ WebM&M commentary.
Journal Article > Commentary
Intrahospital transport to the radiology department: risk for adverse events, nursing surveillance, utilization of a MET and practice implications.
Ott LK, Hoffman LA, Hravnak M. J Radiol Nurs. 2011;30:49-52.
This commentary discusses issues surrounding inpatient transitions and offers recommendations for nurses involved in transport to improve safety.
Unintended exposure of patient Lisa Norris during radiotherapy treatment at the Beatson Oncology Centre, Glasgow in January 2006.
Johnson AM. Edinburgh, Scotland: Scottish Executive; 2006.
This report shares results and recommendations from the investigation of a radiotherapy overdose. The investigation identified contributing factors such as an inexperienced caregiver, supervision gaps, ineffective double-checks, and the misalignment of system improvements with training and documentation.