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Per Swedish Medical Center policy, post th … Per Swedish Medical Center policy, post thyroid treatment patients are prescribed 74 mBq (2mCi (milliCuries)) for the treatment follow-up scan, and 185 mBq (5 mCi) for subsequent treatment if necessary. On 24 September 2004 a patient was prescribed 74 mBq (2 mCi) of NaI (Iodine-131) for a post treatment scan. Instead, 191 mBq (5.16 mCi) of NaI (Iodine-131) were administered. The prescribing physician realized that a misadministration had occurred on 27 September 2004 when the patient underwent the scan. A viable follow-up scan was able to be performed even though the misadministration had occurred. </br>There are multiple procedural checks in place to assure medical technicians administer the prescribed dose. Human error appears to have lead to checks not being performed prior to this event. </br>The Radiation Safety Officer for Swedish Medical Center notified the State of Washington, of the misadministration, on 27 September 2004. </br>The treating physician notified the patient on Monday, 27 September 2004, when the physician discovered the patient had been administered 191 mBq (5.16 mCi) of NaI (Iodine-131) instead of the prescribed 74 mBq (2 mCi) of NaI (Iodine-131).</br>Event Report Number WA-04--57Iodine-131).
Event Report Number WA-04--57 +
07:00:00, 24 September 2004 +
41,078 +
15:08:00, 28 September 2004 +
07:00:00, 24 September 2004 +
Per Swedish Medical Center policy, post th … Per Swedish Medical Center policy, post thyroid treatment patients are prescribed 74 mBq (2mCi (milliCuries)) for the treatment follow-up scan, and 185 mBq (5 mCi) for subsequent treatment if necessary. On 24 September 2004 a patient was prescribed 74 mBq (2 mCi) of NaI (Iodine-131) for a post treatment scan. Instead, 191 mBq (5.16 mCi) of NaI (Iodine-131) were administered. The prescribing physician realized that a misadministration had occurred on 27 September 2004 when the patient underwent the scan. A viable follow-up scan was able to be performed even though the misadministration had occurred. </br>There are multiple procedural checks in place to assure medical technicians administer the prescribed dose. Human error appears to have lead to checks not being performed prior to this event. </br>The Radiation Safety Officer for Swedish Medical Center notified the State of Washington, of the misadministration, on 27 September 2004. </br>The treating physician notified the patient on Monday, 27 September 2004, when the physician discovered the patient had been administered 191 mBq (5.16 mCi) of NaI (Iodine-131) instead of the prescribed 74 mBq (2 mCi) of NaI (Iodine-131).</br>Event Report Number WA-04--57Iodine-131).
Event Report Number WA-04--57 +
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00:00:00, 28 September 2004 +
WN-M008-1 +
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23:40:11, 24 November 2018 +
15:08:00, 28 September 2004 +
4.339 d (104.13 hours, 0.62 weeks, 0.143 months) +
07:00:00, 24 September 2004 +
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