ENS Event | |
|---|---|
21:24 May 13, 2024 | |
| Title | Medical Misadministration |
| Event Description | The following information was provided by the Colorado Department of Public Health and Environment via email:
This event in Colorado was originally sent to the wrong NRC email address and it is now being provided to the NRC. This event is being tracked as NMED number 240183. A patient was administered a measured dose of 0.613 GBq Y-90 TheraSpheres on 5/13/2024, at 1524 MDT. The desired administration location in the liver received a dose of 0.582 Gbq. Post administration imaging analysis conducted on 5/15/2024, showed an uptake to the stomach wall of 1.5 Sievert. Notification made per: 10 CFR 35.3045(a)(1)(iii) 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 | |
|---|---|
| Rose Medical Center Denver, Colorado (NRC Region 4) | |
| License number: | CO 229-03 |
| Organization: | Colorado Dept Of Public Health |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+1836.33 h76.514 days <br />10.931 weeks <br />2.515 months <br />) | |
| Opened: | Phillip Peterson 09:44 Jul 29, 2024 |
| NRC Officer: | Josue Ramirez |
| Last Updated: | Jul 29, 2024 |
| 57250 - NRC Website | |
Rose Medical Center with Agreement State | |
WEEKMONTHYEARENS 572502024-05-13T21:24:00013 May 2024 21:24:00
[Table view]Agreement State Medical Misadministration 2024-05-13T21:24:00 | |