ENS Event | |
|---|---|
04:00 May 1, 2011 | |
| Title | Agreement State Report- Underexposure |
| Event Description | The following information was received from the Commonwealth by facsimile:
The RSO reported that a patient was 60% underexposed by an Ir-192 remote after-loader. The prescribed dose is not known. The error occurred because the physicist did not calculate the effect of the tube used to deliver the after-loader source. The target organ was the skin. 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 | |
|---|---|
| Brigham And Women'S Hospital Boston, Massachusetts (NRC Region 1) | |
| License number: | 44-0004 |
| Organization: | Ma Radiation Control Program |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+1643.75 h68.49 days <br />9.784 weeks <br />2.252 months <br />) | |
| Opened: | Bruce Packard 15:45 Jul 8, 2011 |
| NRC Officer: | Vince Klco |
| Last Updated: | Jul 8, 2011 |
| 47038 - NRC Website | |
Brigham And Women'S Hospital with Agreement State | |
WEEKMONTHYEARENS 470382011-05-01T04:00:0001 May 2011 04:00:00
[Table view]Agreement State Agreement State Report- Underexposure ENS 461162010-06-03T04:00:0003 June 2010 04:00:00 Agreement State Agreement State Report - Potentially Lost Radioactive Material ENS 451762009-06-30T15:30:00030 June 2009 15:30:00 Agreement State Agreement State Report - Potential Worker Overexposure 2011-05-01T04:00:00 | |