ENS Event | |
|---|---|
04:00 Mar 31, 2026 | |
| Title | Medical Event |
| Event Description | The following information was provided by the PA Bureau of Radiation Protection (the Department) via email:
On March 31, 2026, the licensee informed the Department of a medical event involving an administration of a dose to the wrong individual. It is reportable as per 10 CFR 35.3045(a)(1)(ii)(c). On March 31, 2026, a patient was scheduled to receive Tc-99m sestamibi. The nuclear medicine technologist accidentally administered 1 mCi of I-131 that was intended for another patient. Details are still incoming at this time. The patient and referring physician have been notified. The dose to the patient is currently being calculated. We will provide more information as soon as provided. The Department will perform a reactive inspection." PA event report ID number: PA260005 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 | |
|---|---|
| University Of Pittsburgh Pittsburgh, Pennsylvania (NRC Region 1) | |
| License number: | PA-0190 |
| Organization: | Pa Bureau Of Radiation Protection |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+32.08 h1.337 days <br />0.191 weeks <br />0.0439 months <br />) | |
| Opened: | John Chippo 12:05 Apr 1, 2026 |
| NRC Officer: | Tom Eck |
| Last Updated: | Apr 1, 2026 |
| 58226 - NRC Website | |
University Of Pittsburgh with Agreement State | |
WEEKMONTHYEARENS 582262026-03-31T04:00:00031 March 2026 04:00:00
[Table view]Agreement State Medical Event ENS 576702025-04-16T04:00:00016 April 2025 04:00:00 Agreement State Medical Event ENS 576902025-04-16T04:00:00016 April 2025 04:00:00 Agreement State Equipment Failure ENS 567702023-09-28T04:00:00028 September 2023 04:00:00 Agreement State Agreement State - I-125 Seed Inadvertently Transected ENS 551392021-03-12T05:00:00012 March 2021 05:00:00 Agreement State Dose Received Was Less than Prescribed Dose ENS 515672015-11-20T05:00:00020 November 2015 05:00:00 Agreement State Agreement State Report - Lost Radioactive Seed ENS 482862012-09-06T04:00:0006 September 2012 04:00:00 Agreement State Agreement State Report - Yttrium-90 Microspheres Administered to the Wrong Treatment Site 2026-03-31T04:00:00 | |