ENS 47946

v t e ENS Event
12:00 May 17, 2012
Title	Medical Event - Patient Injected with Wrong Radiopharmaceutical and Quantity
Event Description	A patient scheduled for a lymphoscintigraphy procedure was incorrectly injected with 25 milliCuries of Tc-99M Medronate instead of the prescribed 3 milliCuries of Tc-99 Sulphur Colloid. The cause of the event was human error. The patient and physician have been notified. The physician believes there will be no long term adverse effects due to this error. In order to prevent reoccurrence, the nuclear medicine staff will add this event to staff training to ensure that staff double check the label and the dosage and drug. Other options are still being assessed. The licensee also notified NRC Region 3 (Bob Gattone). 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 47946 +/-
Where
University Of Michigan Hospital Ann Arbor, Michigan (NRC Region 3)
License number:	21-00215-04
Organization:	University Of Michigan Hospital
Reporting

10 CFR 35.3045(a)(1)
Time - Person (Reporting Time:+124.58 h5.191 days <br />0.742 weeks <br />0.171 months <br />)
Opened:	Mark Driscoll 16:35 May 22, 2012
NRC Officer:	Joe O'Hara
Last Updated:	May 22, 2012
47946 - NRC Website
v • d • e

v t e Emergency Notification System
University Of Michigan Hospital with 10 CFR 35.3045(a)(1)
WEEKMONTHYEAR2018-10-25T04:00:00 [Table view]
[ENS list for University Of Michigan Hospital]

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