
391The Need to Integrate
patient, who later led a lawsuit against AECL. The second incident occurred at
theOntario Cancer Foundation in July 1985. Again, the patient received a burn and
an overdose of radiation. Yakima Valley Memorial Hospital experienced two similar
incidents, one in December 1985 and another in January 1987. East Texas Cancer Center
also experienced two overdose incidents in both March and April 1986 (Fauchart 2006).
PROBLEM OF INFORMATION ASYMMETRY
The Therac-25 was a very specialized and sophisticated medical device. In fact, at the time
of the accidental overdoses, only 11 had been delivered to medical centers throughou ...