Misadministration of radiation therapy in veterinary medicine: a case report and literature review

Vet Comp Oncol. 2017 Mar;15(1):237-246. doi: 10.1111/vco.12161. Epub 2015 Jul 14.

Abstract

Recent technical advancements in radiation therapy have allowed for improved targeting of tumours and sparing nearby normal tissues, while simultaneously decreasing the risk for medical errors by incorporating additional safety checks into electronic medical record keeping systems. The benefits of these new technologies, however, depends on their proper integration and use in the oncology clinic. Despite the advancement of technology for treatment delivery and medical record keeping, misadministration errors have a significant impact on patient care in veterinary oncology. The first part of this manuscript describes a medical incident that occurred at an academic veterinary referral hospital, in a dog receiving a combination of stereotactic radiation therapy and full-course intensity-modulated, image-guided radiation therapy. The second part of the report is a literature review, which explores misadministration errors and novel challenges which arise with the implementation of advancing technologies in veterinary radiation oncology.

Keywords: error; medical incident; oncology; small animal; technology.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Animals
  • Dog Diseases / radiotherapy*
  • Dogs
  • Humans
  • Medical Errors / veterinary*
  • Neoplasms / radiotherapy
  • Neoplasms / veterinary*
  • Radiation Dosage
  • Radiosurgery / methods
  • Radiosurgery / veterinary
  • Radiotherapy Setup Errors / veterinary*
  • Radiotherapy, Intensity-Modulated / methods
  • Radiotherapy, Intensity-Modulated / veterinary
  • Schools, Veterinary
  • Tomography, X-Ray Computed / veterinary
  • Veterinary Medicine