ENS Event | |
|---|---|
07:00 Sep 30, 2022 | |
| Title | Patient Underdose |
| Event Description | The following information was provided by the Arizona Department of Health Services (the Department) via email:
The Department identified a possible medical event involving Y-90 Sir-Spheres during a routine inspection. A patient was prescribed an activity of 0.05 GBq (1.45 mCi) but was delivered 0.02 GBq (0.53 mCi), a percent dose delivered of 36.55 percent. The procedure date was 9/30/2022. The Department has requested additional information and continues to investigate the event." 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 | |
|---|---|
| Honorhealth Shea Scottsdale, Arizona (NRC Region 4) | |
| License number: | 07-265 |
| Organization: | Arizona Dept Of Health Services |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+2645.57 h110.232 days <br />15.747 weeks <br />3.624 months <br />) | |
| Opened: | Brian D. Goretzki 13:34 Jan 18, 2023 |
| NRC Officer: | Lloyd Desotell |
| Last Updated: | Jan 18, 2023 |
| 56312 - NRC Website | |
Honorhealth Shea with Agreement State | |
WEEKMONTHYEARENS 563122022-09-30T07:00:00030 September 2022 07:00:00
[Table view]Agreement State Patient Underdose 2022-09-30T07:00:00 | |