ENS Event | |
|---|---|
07:00 Jun 22, 2015 | |
| Title | Agreement State Report - Brachytherapy Seed Implant Results in Underdose |
| Event Description | The following was received by the State of California via email:
During the investigation of the licensee's brachytherapy program, the RHB [Radiation Health Branch] personnel discovered a possible medical event. After further review, the RHB personnel determined on 7/14/15 that a medical event had occurred on 6/22/15 which resulted in an underdose of 27 percent to a patient than the dose called for in the written directive. The licensee is in agreement with the RHB that this is a medical event. The investigation is ongoing and there may be additional medical events discovered as documentation is reviewed. State 5010 Number: 070115 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 | |
|---|---|
| Sutter-Solano Vallejo, California (NRC Region 4) | |
| License number: | 1943 |
| Organization: | California Radiation Control Prgm |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+586.67 h24.445 days <br />3.492 weeks <br />0.804 months <br />) | |
| Opened: | Gene Forrer 17:40 Jul 16, 2015 |
| NRC Officer: | Dong Park |
| Last Updated: | Jul 16, 2015 |
| 51239 - NRC Website | |
Sutter-Solano with Agreement State | |
WEEKMONTHYEARENS 512392015-06-22T07:00:00022 June 2015 07:00:00
[Table view]Agreement State Agreement State Report - Brachytherapy Seed Implant Results in Underdose 2015-06-22T07:00:00 | |