ENS 56526

v t e ENS Event
04:00 Apr 11, 2023
Title	Medical Event (Patient Underdose)
Event Description	The following information was received from the Pennsylvania Department of Radiation Protection via email: On March 28, 2023, a patient was treated with a permanent Cs-131 implant with a prescribed dose of 60 Gy. On April 11, 2023, the patient presented with a serious medical condition which necessitated the immediate removal of the implant. The seeds were all accounted for and placed into storage for decay to background. The actual dose delivered is calculated to be 37 Gy. The referring physician and the patient have been informed. Event Report Identification Number: PA230015 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 56526 +/-
Where
Thomas Jefferson Univ. Hospital Philadelphia, Pennsylvania (NRC Region 1)
License number:	PA-0130
Organization:	Pa Bureau Of Radiation Protection
Reporting

Agreement State
Time - Person (Reporting Time:+920.05 h38.335 days <br />5.476 weeks <br />1.26 months <br />)
Opened:	John Chippo 12:03 May 19, 2023
NRC Officer:	Kerby Scales
Last Updated:	May 19, 2023
56526 - NRC Website
v • d • e

v t e Emergency Notification System
Thomas Jefferson Univ. Hospital with Agreement State
WEEKMONTHYEAR2023-04-11T04:00:00 [Table view]
[ENS list for Thomas Jefferson Univ. Hospital]

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