ENS Event | |
|---|---|
05:00 Nov 9, 2012 | |
| Title | Agreement State Report - Patient Received Wrong Treatment Plan |
| Event Description | The following report was received from the State of Florida via facsimile:
On November 9, 2012, two patients with a different treatment plan (HDR Brachytherapy) were scheduled on the same day, patient 2 received patient 1 treatment plan. [The] error [was] found during mid treatment and stopped. Oncologist and patient informed, treatment continued under original plan, expect no adverse effects to patient Primary care physician has not been informed as of 13 November 2012, 0800 hours0.00926 days <br />0.222 hours <br />0.00132 weeks <br />3.044e-4 months <br />. A private company Radio Physics Associates (TRP-73) performs procedures involving HDR at this hospital. Investigation assigned to [State of Florida Bureau of Radiation Control] Tampa Office. No further action will be taken on this incident. Isotope involved: Ir-192; Activity: 8.3 Ci 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 | |
|---|---|
| Florida Hospital, Tampa Tampa, Florida (NRC Region 1) | |
| License number: | 0549-3 |
| Organization: | Florida Bureau Of Radiation Control |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+152.45 h6.352 days <br />0.907 weeks <br />0.209 months <br />) | |
| Opened: | Steve Furnace 13:27 Nov 15, 2012 |
| NRC Officer: | Pete Snyder |
| Last Updated: | Nov 15, 2012 |
| 48509 - NRC Website | |
Florida Hospital, Tampa with Agreement State | |
WEEKMONTHYEARENS 485092012-11-09T05:00:0009 November 2012 05:00:00
[Table view]Agreement State Agreement State Report - Patient Received Wrong Treatment Plan 2012-11-09T05:00:00 | |