ENS 46921

v t e ENS Event
04:00 Jun 2, 2011
Title	Agreement State Report - Delivered Dose Different than Prescribed Dose
Event Description	The following information was sent by the State of Florida Bureau of Radiation Control via email: [On June 2, 2011], a patient with over 100 tumors was being treated. One lesion was supposed to get 16 gray, but received only .85 gray. The physicist forgot to adjust for the weight factor. The physicians have been notified. The patient will receive the correct dose during the next visit. The licensee will submit a written report to the Radioactive Materials. Any further action is referred to Radioactive Materials. No further action will be taken on this incident by this office. The patient was undergoing Gamma Knife Stereotactic Radiosurgery using 3073 Ci of Co-60. Florida Incident: FL11-046 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 46921 +/-
Where
Doctors Hospital Inc. Coral Gables, Florida (NRC Region 1)
License number:	3823-1
Organization:	Florida Bureau Of Radiation Control
Reporting

Agreement State
Time - Person (Reporting Time:+35.67 h1.486 days <br />0.212 weeks <br />0.0489 months <br />)
Opened:	Charles Adams 15:40 Jun 3, 2011
NRC Officer:	Vince Klco
Last Updated:	Jun 3, 2011
46921 - NRC Website
v • d • e

v t e Emergency Notification System
Doctors Hospital Inc. with Agreement State
WEEKMONTHYEAR2011-06-02T04:00:00 [Table view]
[ENS list for Doctors Hospital Inc.]

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