ENS 40575

v t e ENS Event
21:00 Mar 4, 2004
Title	the Cleveland Clinic Foundation Administered an Underdose During a Therapeutic Treatment
Event Description	During a therapeutic procedure using I-125 Gliasite from 2/28 - 3/1, the state licensee administered an under dose of 24%. The therapist calculated a dwell time of only 97 hours0.00112 days <br />0.0269 hours <br />1.603836e-4 weeks <br />3.69085e-5 months <br /> when the prescribed dwell time was 120 hrs for treating a brain tumor. This resulted in the patient receiving 5,300 rads instead of the prescribed 7,000 rads. Both the patient and the referring physician were notified. The licensee will make up for the under dosage by using a linear accelerator.

ENS 40575 +/-
Where
Cleveland Clinic Foundation Cleveland, Ohio (NRC Region 3)
License number:	02110180013
Organization:	Ohio Bureau Of Radiation Protection
Reporting

Agreement State
Time - Person (Reporting Time:+85.25 h3.552 days <br />0.507 weeks <br />0.117 months <br />)
Opened:	Mark Light 10:15 Mar 8, 2004
NRC Officer:	Chauncey Gould
Last Updated:	Mar 8, 2004
40575 - NRC Website
v • d • e

v t e Emergency Notification System
Cleveland Clinic Foundation with Agreement State
WEEKMONTHYEAR2025-03-25T04:00:00 [Table view]
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