ENS Event | |
|---|---|
05:00 Oct 1, 2009 | |
| Title | Agreement State - Administered Radiation Treatment to Wrong Area |
| Event Description | The following was received via email:
On October 1, 2009, the Agency was notified by the licensee that a patient had received 13 of 25 fractions to the wrong breast. The patient received 2,340 centigrays by the time the error was discovered. The Radiation Safety Officer stated that he had just fount out about the event and no additional information was available. Additional information will be provided as it is obtained. Texas Incident #: I-8676 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.
The following was received via email: This event involved an exposure to a patient from a linear accelerator and should not have been reported to the NRC; therefore, the Agency [Texas Department of Health] is retracting this report. Notified R4DO (Spitzberg) and FSME EO (Einberg) |
| Where | |
|---|---|
| Oncology Hematology Consultants Pa Fort Worth, Texas (NRC Region 4) | |
| License number: | 05919 |
| Organization: | Texas Department Of Health |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+13.18 h0.549 days <br />0.0785 weeks <br />0.0181 months <br />) | |
| Opened: | Art Tucker 18:11 Oct 1, 2009 |
| NRC Officer: | Charles Teal |
| Last Updated: | Dec 8, 2009 |
| 45401 - NRC Website | |
Oncology Hematology Consultants Pa with Agreement State | |
WEEKMONTHYEARENS 459882010-06-08T05:00:0008 June 2010 05:00:00
[Table view]Agreement State Texas Agreement State Report - Medical Event ENS 454012009-10-01T05:00:0001 October 2009 05:00:00 Agreement State Agreement State - Administered Radiation Treatment to Wrong Area 2010-06-08T05:00:00 | |