title: Misadministration of radiation therapy in veterinary medicine: a case report and literature review.
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.
authors.affiliation: Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC, USA.
authors.forename: M M
authors.initials: MM
authors.lastname: Arkans
authors.affiliation: Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC, USA.|Center for Comparative Medicine and Translational Research, North Carolina State University, Raleigh, NC, USA.
authors.forename: T L
authors.initials: TL
authors.lastname: Gieger
authors.affiliation: Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC, USA.|Center for Comparative Medicine and Translational Research, North Carolina State University, Raleigh, NC, USA.
authors.forename: M W
authors.initials: MW
authors.lastname: Nolan
mesh_terms: D000818:Animals; D004283:Dog Diseases / Q000532:radiotherapy*; D004285:Dogs; D006801:Humans; D019300:Medical Errors / Q000662:veterinary*; D009369:Neoplasms / Q000532:radiotherapy / Q000662:veterinary*; D011829:Radiation Dosage; D016634:Radiosurgery / Q000379:methods / Q000662:veterinary; D061106:Radiotherapy Setup Errors / Q000662:veterinary*; D050397:Radiotherapy, Intensity-Modulated / Q000379:methods / Q000662:veterinary; D012582:Schools, Veterinary; D014057:Tomography, X-Ray Computed / Q000662:veterinary; D014730:Veterinary Medicine
keywords: error; medical incident; oncology; small animal; technology