ENS 44677

v t e ENS Event
08:00 Nov 21, 2008
Title	Agreement State Report - Thyroid Scan Administered to the Wrong Patient
Event Description	Nevada Physicians Imaging, the licensee, reported to the Nevada State Department of Health that they inadvertently administered 220 microCi of I-123 to the wrong patient. Patient A (the correct patient) was scheduled to receive a thyroid scan. Patient B (the wrong patient) shared the same name as Patient A and was scheduled to receive treatment at the same time. As a result, Patient B underwent a thyroid scan intended for Patient A. It is unknown what diagnostic procedure Patient B was intended to receive. The patient has not been notified of the incorrect treatment. The licensee was in the process of notifying the prescribing physician. The State of Nevada will investigate this incident after receiving the licensee's report.

ENS 44677 +/-
Where
Nevada Physicians Imaging Las Vegas, Nevada (NRC Region 4)
License number:	03-12-0514-01
Organization:	Nevada State Health Department
Reporting

Agreement State
Time - Person (Reporting Time:+9.72 h0.405 days <br />0.0579 weeks <br />0.0133 months <br />)
Opened:	Adrian Howe 17:43 Nov 21, 2008
NRC Officer:	Howie Crouch
Last Updated:	Nov 21, 2008
44677 - NRC Website
v • d • e

v t e Emergency Notification System
Nevada Physicians Imaging with Agreement State
WEEKMONTHYEAR2008-11-21T08:00:00 [Table view]
[ENS list for Nevada Physicians Imaging]

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