ENS 51841

v t e ENS Event
06:00 Mar 24, 2016
Title	Medical Event - Dose Misadministration
Event Description	The following information was received from the State of Colorado via email: The Colorado Department of Public Health and Environment - Radioactive Materials Unit was notified on March 25, at [1041 MDT] of a misadministration that occurred on the evening of March 24, 2016. The licensee is Presbyterian St. Luke's Medical Center. A patient was given approximately 70% of the prescribed SIR-Spheres dose due to a clogged catheter. The investigation is ongoing and a corrective action has not yet been determined. Colorado Report: CO16-M16-02 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 51841 +/-
Where
Presbyterian St. Luke'S Medical Center Denver, Colorado (NRC Region 4)
License number:	CO 632-06
Organization:	Colorado Dept Of Health
Reporting

Agreement State
Time - Person (Reporting Time:+179.97 h7.499 days <br />1.071 weeks <br />0.247 months <br />)
Opened:	Derek Bailey 17:58 Mar 31, 2016
NRC Officer:	Vince Klco
Last Updated:	Mar 31, 2016
51841 - NRC Website
v • d • e

v t e Emergency Notification System
Presbyterian St. Luke'S Medical Center with Agreement State
WEEKMONTHYEAR2016-03-24T06:00:00 [Table view]
[ENS list for Presbyterian St. Luke'S Medical Center]

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