ENS 47771

v t e ENS Event
04:00 Mar 22, 2012
Title	Agreement State Report - Patient Received Less than Intended Dose
Event Description	The following information was received via facsimile: On March 23, 2012 the Southeast Regional Office [of the Pennsylvania Department of Environmental Protection - Bureau of Radiation Protection (Department)] received notice from the hospital of a medical event involving yittrium-90 TheraSpheres. The patient was being treated for disease of the liver and received 76% of the intended dose in the first delivery and 56% of the intended dose in the second delivery. The cause of the event is currently under investigation. More information will be provided when received. No harm to the patient is expected. The oncologist was satisfied with the treatment and no additional delivery is anticipated. The Department will conduct a reactive inspection. Pennsylvania Event Report ID No: PA120010 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 47771 +/-
Where
Thomas Jefferson University Hospital Philadelphia, Pennsylvania (NRC Region 1)
License number:	PA-0130
Organization:	Pa Bureau Of Radiation Protection
Reporting

Agreement State
Time - Person (Reporting Time:+106.82 h4.451 days <br />0.636 weeks <br />0.146 months <br />)
Opened:	Joseph Melnic 14:49 Mar 26, 2012
NRC Officer:	Donald Norwood
Last Updated:	Mar 26, 2012
47771 - NRC Website
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v t e Emergency Notification System
Thomas Jefferson University Hospital with Agreement State
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