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The following report was sent from the Sta … The following report was sent from the State of Pennsylvania via facsimile:</br>During the patient's treatment, it was determined that the wrong side of the patient's head was being treated (using a gamma knife). The patient treatment was halted at 47.40 minutes out of the prescribed 55.63 minutes. The prescribed dose was 42.5 Gy to the 50% isodose line. Patient received 34.5 Gy to the 50% isodose.</br>PA DEP (The Pennsylvania Department) Bureau of Radiation Protection was notified in writing, dated July 29, 2009. Their suggestion for improvement is while all treatment team members are present during a 'time out' procedure, to have the patient state the side of his/her lesion or treatment and place an imaging marker to designate the treatment side.</br>The State (of Pennsylvania) will continue to keep NRC informed of the status of the investigation.</br>Pennsylvania Report PA090027.</br>* * * RETRACTION FROM PENNSYLVANIA (ALLARD) TO CROUCH VIA FAX @ 2116 EDT ON 8/28/09 * * * </br>Regarding the Lehigh Valley Hospital Medical Event (PA090027) reported to the HOO via fax on 8-3-09, please be advised of our (Pennsylvania Department of Environmental Protection) intent to retract this report.</br>Based on our inspection and follow-up with the licensee, it was determined that, although the initial written directive was prepared in error, all radiation treatments received by the patient were, in fact, delivered in accordance with a written directive. However, the licensee has taken corrective actions to avoid a similar event occurring in the future.</br>Notified R1DO (White) and FSME EO (Suber).</br>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.necessarily result in harm to the patient. +
04:00:00, 29 July 2009 +
45,241 +
20:10:00, 3 August 2009 +
04:00:00, 29 July 2009 +
The following report was sent from the Sta … The following report was sent from the State of Pennsylvania via facsimile:</br>During the patient's treatment, it was determined that the wrong side of the patient's head was being treated (using a gamma knife). The patient treatment was halted at 47.40 minutes out of the prescribed 55.63 minutes. The prescribed dose was 42.5 Gy to the 50% isodose line. Patient received 34.5 Gy to the 50% isodose.</br>PA DEP (The Pennsylvania Department) Bureau of Radiation Protection was notified in writing, dated July 29, 2009. Their suggestion for improvement is while all treatment team members are present during a 'time out' procedure, to have the patient state the side of his/her lesion or treatment and place an imaging marker to designate the treatment side.</br>The State (of Pennsylvania) will continue to keep NRC informed of the status of the investigation.</br>Pennsylvania Report PA090027.</br>* * * RETRACTION FROM PENNSYLVANIA (ALLARD) TO CROUCH VIA FAX @ 2116 EDT ON 8/28/09 * * * </br>Regarding the Lehigh Valley Hospital Medical Event (PA090027) reported to the HOO via fax on 8-3-09, please be advised of our (Pennsylvania Department of Environmental Protection) intent to retract this report.</br>Based on our inspection and follow-up with the licensee, it was determined that, although the initial written directive was prepared in error, all radiation treatments received by the patient were, in fact, delivered in accordance with a written directive. However, the licensee has taken corrective actions to avoid a similar event occurring in the future.</br>Notified R1DO (White) and FSME EO (Suber).</br>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.necessarily result in harm to the patient. +
Has query"Has query" is a predefined property that represents meta information (in form of a <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Subobject">subobject</a>) about individual queries and is provided by <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Help:Special_properties">Semantic MediaWiki</a>.
00:00:00, 28 August 2009 +
PA0264 +
Modification date"Modification date" is a predefined property that corresponds to the date of the last modification of a subject and is provided by <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Help:Special_properties">Semantic MediaWiki</a>.
23:25:39, 24 November 2018 +
20:10:00, 3 August 2009 +
5.674 d (136.17 hours, 0.811 weeks, 0.187 months) +
04:00:00, 29 July 2009 +
URL"URL" is a <a href="/Special:Types/URL" title="Special:Types/URL">type</a> and predefined property provided by <a rel="nofollow" class="external text" href="https://www.semantic-mediawiki.org/wiki/Help:Special_properties">Semantic MediaWiki</a> to represent URI/URL values.