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1. Subject
1.1 Between 5th January 2006 and 31st January 2006, patient Lisa Norris, who was then 15 years old, received a dose of ionising radiation much greater than that intended while undergoing a course of radiotherapy at the Beatson Oncology Centre ( BOC) in Glasgow. Since the incident resulted from a procedural error rather than from equipment failure, it has been reported and investigated under the provisions of Statutory Instrument 2000 No. 1059, The Ionising Radiation (Medical Exposures) Regulations 2000 (the IR(ME) Regulations) [1]. The regulator for the IR(ME) Regulations (the 'appropriate authority') in Scotland is the Scottish Ministers.
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