ENS 44192

v t e ENS Event
04:00 May 8, 2008
Title	Brachytherapy Underdose to 2 Patients
Event Description	The licensee discovered that 2 patients received underdoses from brachytherapy in January 2008. The underdoses were discovered May 7, 2008. The cause was related to a change in the input made to the treatment planning computer involving the magnification factor. The prescribed doses were 5500 centigray to the cervix of both patients and delivered dose was 2550 centigray. The patient's prescribing physician and oncologist have been informed and discussions are underway to determine future actions. The patients have not yet been informed. A "Medical Event" may indicate potential problems in a medical facility's use of radioactive materials. It does not necessarily result in harm to the patient.

ENS 44192 +/-
Where
Bridgeport Hospital Bridgeport, Connecticut (NRC Region 1)
License number:	06-01060-01
Organization:	Bridgeport Hospital
Reporting

10 CFR 35.3045(a)(1)
Time - Person (Reporting Time:+5.52 h0.23 days <br />0.0329 weeks <br />0.00756 months <br />)
Opened:	David Wishco 09:31 May 8, 2008
NRC Officer:	Pete Snyder
Last Updated:	May 8, 2008
44192 - NRC Website
v • d • e

v t e Emergency Notification System
Bridgeport Hospital with 10 CFR 35.3045(a)(1)
WEEKMONTHYEAR2008-05-08T04:00:00 [Table view]
[ENS list for Bridgeport Hospital]

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