ENS 49946

v t e 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. * * RETRACTION AT 0835 ON 4/9/14 FROM KARI CANN TO PETE SNYDER * * * 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).

ENS 49946 +/- *RETRACTED*
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
v • d • e

v t e Emergency Notification System
Bozeman Deaconess Hospital with 10 CFR 35.3045(a)(1)
WEEKMONTHYEAR2008-09-09T06:00:00 [Table view]
[ENS list for Bozeman Deaconess Hospital]

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