ENS 51342

v t e ENS Event
04:00 Aug 19, 2015
Title	Ohio Agreement State Report - Prostate Treatment Underdose
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 * * RETRACTION PROVIDED FROM STEPHEN JAMES TO JEFF ROTTON VIA EMAIL AT 1454 ON 08/27/2015 * * * 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.

ENS 51342 +/- *RETRACTED*
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
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Wood County Hospital with Agreement State
WEEKMONTHYEAR2015-08-19T04:00:00 [Table view]
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