ENS Event | |
|---|---|
05:00 Feb 18, 2008 | |
| Title | Agreement State Report - Medical Misadministration During Prostate Therapy |
| Event Description | The state found three cases of prostate seed (Pd-103) medical misadministration during an inspection on 1/14/2011. These cases are related to one doctor.
2/18/2008: 100 Gy prescribed, 70.24 Gy administered 4/8/2008: 125 Gy prescribed, 71.6 Gy administered 3/17/2009: 100 Gy prescribed, 160.8 Gy administered The physician was notified of the misadministration however the patients were not notified. 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. |
| Where | |
|---|---|
| Highlands Regional Medical Center Prestonburg, Kentucky (NRC Region 1) | |
| License number: | 202-102-26 |
| Organization: | Kentucky Dept Of Radiation Control |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+29506.22 h1,229.426 days <br />175.632 weeks <br />40.418 months <br />) | |
| Opened: | Michele Greenwell 14:13 Jul 1, 2011 |
| NRC Officer: | Mark Abramovitz |
| Last Updated: | Jul 1, 2011 |
| 47011 - NRC Website | |
Highlands Regional Medical Center with Agreement State | |
WEEKMONTHYEARENS 470112008-02-18T05:00:00018 February 2008 05:00:00
[Table view]Agreement State Agreement State Report - Medical Misadministration During Prostate Therapy 2008-02-18T05:00:00 | |