ENS 55499

v t e ENS Event
07:00 Sep 28, 2021
Title	Dose Administered Wrong Patient
Event Description	The following is a summary of a report received from the state of Nevada via telephone and email: During an inspection on 9/28/21 at Genesis Care, the State discovered that a patient incorrectly received radiation treatment for breast cancer in 2001. Pathology results were accidentally switched resulting in the wrong patient receiving treatment. A patient was treated with a mamosite breast applicator that didn't have breast cancer. The dose received by the patient is unknown at this time. The patient with breast cancer was not treated. The State is following up with the licensee and will provide updated information. Nevada Item Number: NV210017 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 55499 +/-
Where
Genesiscare Usa, Llc Las Vegas, Nevada (NRC Region 4)
License number:	03-12-13639-01
Organization:	Nevada Radiological Health
Reporting

Agreement State
Time - Person (Reporting Time:+35.68 h1.487 days <br />0.212 weeks <br />0.0489 months <br />)
Opened:	John Follette 18:41 Sep 29, 2021
NRC Officer:	Kerby Scales
Last Updated:	Sep 29, 2021
55499 - NRC Website
v • d • e

v t e Emergency Notification System
Genesiscare Usa, Llc with Agreement State
WEEKMONTHYEAR2021-09-28T07:00:00 [Table view]
[ENS list for Genesiscare Usa, Llc]

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