ENS 45485

v t e ENS Event
06:00 Aug 28, 2009
Title	Agreement State Report - Brachytherapy Patient Received More than Prescribed Dose
Event Description	The following information was received via NMED report #090706: Hardin Memorial Hospital reported that a patient received 26.9% more dose than prescribed during prostate seed implant procedure on 8/28/09. The patient received I-125 brachytherapy seeds with a total activity of 1.26 GBq (34.054 mCi) instead of the prescribed 0.99 GBq (26.825 mCi). It is believed that the medical physicist calculated dose to the prostate using air kerma instead of milliCurie. All physicians and the patient have been notified of the mistake. 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 45485 +/-
Where
Hardin Memorial Hospital Elizabethtown, Kentucky (NRC Region 1)
License number:	KY-202-148-26
Organization:	Kentucky Dept Of Radiation Control
Reporting

Agreement State
Time - Person (Reporting Time:+1755.83 h73.16 days <br />10.451 weeks <br />2.405 months <br />)
Opened:	Angela Sharyock 10:50 Nov 9, 2009
NRC Officer:	Charles Teal
Last Updated:	Nov 9, 2009
45485 - NRC Website
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v t e Emergency Notification System
Hardin Memorial Hospital with Agreement State
WEEKMONTHYEAR2018-09-07T04:00:00 [Table view]
[ENS list for Hardin Memorial Hospital]

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