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 Issue dateTitleTopic
PNO-IV-98-058, on 981125,medical Misadministration Occurred. Event Involved Nucletron Afterloader with Ir-192 Source. Brachytherapy Dosimetrist Entered Wrong Starting Position, 1500 Mm Rather than Intended 1450 Mm.Nmss Has Been Informed30 November 1998PNO-IV-98-058:on 981125,medical Misadministration Occurred. Event Involved Nucletron Afterloader with Ir-192 Source. Brachytherapy Dosimetrist Entered Wrong Starting Position, 1500 Mm Rather than Intended 1450 Mm.Nmss Has Been InformedBrachytherapy
PNO-IV-98-018, on 980420,two Patients Were Misadministered Therapy Doses of P-32 by Radionuclide Synovectomy for Treatment of Arthritis.Caused by Misreading of Activity of Vial of P-32 Being Used to Calibrate Dose Calibrator22 April 1998PNO-IV-98-018:on 980420,two Patients Were Misadministered Therapy Doses of P-32 by Radionuclide Synovectomy for Treatment of Arthritis.Caused by Misreading of Activity of Vial of P-32 Being Used to Calibrate Dose Calibrator
PNO-V-93-018, on 931025,9 Month Nursing Infant Had Received 25 Rads to Thyroid as Result of I-131 Administration to Mother.Caused by 15 Mci of I-131 for Diagnostic Scan.Event Under Investigation26 October 1993PNO-V-93-018:on 931025,9 Month Nursing Infant Had Received 25 Rads to Thyroid as Result of I-131 Administration to Mother.Caused by 15 Mci of I-131 for Diagnostic Scan.Event Under Investigation