ENS Event | |
|---|---|
04:00 Aug 19, 2015 | |
| Title | |
| Event Description | The following information was provided by the State of Ohio via email:
On 8/20/2015, the Ohio Department of Health (ODH) was notified by voice mail regarding a prostate seed implant to a patient performed on 07/16/2015. This implant consisted of [60] seeds (each seed - 23.6 milliCi of I-125). On 8/18/2015, a post seed implant CT scan was done to verify dose distribution. It was discovered that the D90 "dose" delivered [an under dose] that varied by 34 percent of the prescribed D90 dose for a prostate seed implant. The Referring physician and patient have been notified. Ohio Item Number: OH150008
The following information was provided by the State of Ohio via email: After additional reporting by the licensee and investigation by ODH, it was determined that the patient did NOT receive the under dose as initially reported and DOES NOT qualify as a medical event. This report is RETRACTED, as of 8/27/15. Notified R3DO (Skokowski) and NMSS Events Notification via email. 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 | |
|---|---|
| Wood County Hospital Bowling Green, Ohio (NRC Region 3) | |
| License number: | 02120880005 |
| Organization: | Ohio Bureau Of Radiation Protection |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+150.87 h6.286 days <br />0.898 weeks <br />0.207 months <br />) | |
| Opened: | Stephen James 10:52 Aug 25, 2015 |
| NRC Officer: | Jeff Rotton |
| Last Updated: | Aug 27, 2015 |
| 51342 - NRC Website | |
Wood County Hospital with Agreement State | |
WEEKMONTHYEARENS 513422015-08-19T04:00:00019 August 2015 04:00:00
[Table view]Agreement State Ohio Agreement State Report - Prostate Treatment Underdose 2015-08-19T04:00:00 | |