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Issue date | Title | Topic | |
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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 Informed | 30 November 1998 | 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 Informed | Brachytherapy |
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 Calibrator | 22 April 1998 | 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 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 Investigation | 26 October 1993 | 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 Investigation |