ENS Event | |
|---|---|
05:00 Apr 27, 2022 | |
| Title | Diagnostic Radiopharmaceutical Misadministration |
| Event Description | The following information was received from the Alabama Office of Radiation Control (the Department) via E-mail:
The Department received a phone call and e-mail on 4/28/2022 from the licensee regarding two patients that apparently received the wrong radiopharmaceuticals on 4/27/2022. The patients' doses appeared to have been inadvertently switched. Patient: 1 (male) Ordered dose: 10.0 mCi Fluciclovine (Axumin) F-18 Given: 10.64 mCi FDG F-18 Patient: 2 (female) Ordered dose: 10.0 mCi FDG F-18 Given: 12.62 mCi Fluciclovine (Axumin) F-18 It appears that at least one patient received an effective dose over 500 mrem. Alabama Radiation Control will provide more information as the investigation continues. Alabama Event: 22-07 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 | |
|---|---|
| The University Of South Alabama Mobile, Alabama (NRC Region 1) | |
| License number: | RML 584 |
| Organization: | Alabama Radiation Control |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+60.97 h2.54 days <br />0.363 weeks <br />0.0835 months <br />) | |
| Opened: | Cason Coan 17:58 Apr 29, 2022 |
| NRC Officer: | Lloyd Desotell |
| Last Updated: | Apr 29, 2022 |
| 55870 - NRC Website | |
The University Of South Alabama with Agreement State | |
WEEKMONTHYEARENS 558702022-04-27T05:00:00027 April 2022 05:00:00
[Table view]Agreement State Diagnostic Radiopharmaceutical Misadministration 2022-04-27T05:00:00 | |