ENS Event | |
|---|---|
06:00 Sep 9, 2008 | |
| Title | Three Medical Misadministration Incidents |
| Event Description | During a recent review of historical records, it was determined that three medical misadministration incidents had occurred. Two of these incidents occurred on September 9, 2008 and the third incident occurred on September 30, 2008.
The patients were being treated for prostate cancer and were receiving I-125 brachytherapy. Two patients were each prescribed a source activity of 0.269 mCi but received 0.341 mCi. The third patient was prescribed 0.340 mCi but received 0.439 mCi. The patients have been followed elsewhere for the last few years. The licensee will assess the patients as soon as they are available. The licensee is in the process of notifying the patients of the misadministrations. 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.
The RSO for the hospital has reevaluated this report and has determined, in consultation with NRC Region IV, that due to a lack of complete information this report is retracted. If later, when more complete information is available it is determined that a report needs to be made it will be made at that time. Notified R4DO (Drake) and FSME EVENT RESOURCE (email). |
| Where | |
|---|---|
| Bozeman Deaconess Hospital Bozeman, Montana (NRC Region 4) | |
| License number: | 25-10994-04 |
| Organization: | Bozeman Deaconess Hospital |
| Reporting | |
| 10 CFR 35.3045(a)(1) | |
| Time - Person (Reporting Time:+48467.88 h2,019.495 days <br />288.499 weeks <br />66.391 months <br />) | |
| Opened: | Kari Cann 17:53 Mar 21, 2014 |
| NRC Officer: | Donald Norwood |
| Last Updated: | Apr 9, 2014 |
| 49946 - NRC Website | |
Bozeman Deaconess Hospital with 10 CFR 35.3045(a)(1) | |
WEEKMONTHYEARENS 499462008-09-09T06:00:0009 September 2008 06:00:00
[Table view]10 CFR 35.3045(a)(1) Three Medical Misadministration Incidents 2008-09-09T06:00:00 | |