ENS 56514

v t e 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.

ENS 56514 +/-
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
v • d • e

v t e Emergency Notification System
Chi St Lukes Hlth Baylor Clg Of Med with Agreement State
WEEKMONTHYEAR2023-05-09T05:00:00 [Table view]
[ENS list for Chi St Lukes Hlth Baylor Clg Of Med]

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