ENS 47043

v t e ENS Event
13:30 Jul 8, 2011
Title	Agreement State Report - Medical Event Overexposure to Thyroid Gland
Event Description	The following was received from the state via fax: The Colorado Department of Public Health and Environment received notification this date from The University of Colorado Hospital, Colorado License # 828-01, that a patient received the wrong dose of I-131 on July 8, 2011 resulting in a dose that exceeded prescribed by 50 rem and 50% of the dose expected from the administration defined in the written directive. The patient was prescribed 20 mCi of l-131 for Graves disease, but instead received 100 mCi of I-l31, which was intended for another patient. The patient was discharged before the error was discovered. The patient's physician and the patient have been contacted and made aware of the situation. The patient has been given additional instructions regarding contact with family members and members of the public. No other details are available at this time. The Colorado Department of Public Health and Environment has initiated an investigation. 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 47043 +/-
Where
University Of Colorado Hospital Colorado (NRC Region 4)
License number:	828-01
Organization:	Colorado Dept Of Health
Reporting

Agreement State
Time - Person (Reporting Time:+75.33 h3.139 days <br />0.448 weeks <br />0.103 months <br />)
Opened:	Ed Stroud 16:50 Jul 11, 2011
NRC Officer:	Joe O'Hara
Last Updated:	Jul 11, 2011
47043 - NRC Website
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v t e Emergency Notification System
University Of Colorado Hospital with Agreement State
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