ENS Event | |
|---|---|
05:00 May 9, 2023 | |
| Title | Medical Event |
| Event Description | The following information was received via email from the Texas Dept. of State Health Services (the Agency):
On May 9, 2023, the Agency was notified by the licensee that a medical event occurred earlier that day. The licensee stated a patient was prescribed two doses of SIR-Spheres yittrium-90 (Y-90). After the procedure, it was determined that the patient received doses differed from the prescribed doses by more than 20 percent. The patient was prescribed doses of 14.5 mCi and 21.7 mCi. The patient received 5.3 mCi (for the syringe dose of 14.2 mCi) and 12.31 mCi (for the syringe dose of 21.5 mCi). Delivered doses differed by 37.3 percent and 57.2 percent respectively. The prescribing physician and patient were notified of the error. Additional information will be provided as it is received in accordance with SA-300. Texas Incident No.: 10017 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 | |
|---|---|
| Chi St Lukes Hlth Baylor Clg Of Med Houston, Texas (NRC Region 4) | |
| License number: | L-06661 |
| Organization: | Texas Dept Of State Health Services |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+32.33 h1.347 days <br />0.192 weeks <br />0.0443 months <br />) | |
| Opened: | Art Tucker 13:20 May 10, 2023 |
| NRC Officer: | Donald Norwood |
| Last Updated: | May 10, 2023 |
| 56514 - NRC Website | |
Chi St Lukes Hlth Baylor Clg Of Med with Agreement State | |
WEEKMONTHYEARENS 565142023-05-09T05:00:0009 May 2023 05:00:00
[Table view]Agreement State Medical Event 2023-05-09T05:00:00 | |