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The following information was provided by … The following information was provided by the Commonwealth of Pennsylvania via facsimile:</br>On January 20, 2012, at 1409 EST, the Department's (PA Bureau of Radiation Protection) southeast regional office received notification via phone call about this ME (Medical Event).</br>On January 19, 2012, a worksheet was prepared for two patients who were to be treated on the same day, close in time. The worksheets were switched and each patient received the other patient's dose. The first patient reached stasis before receiving the full amount and received a dose 35% above the planned dose. The second patient received 55% less than what was planned.</br>CAUSE OF THE EVENT: Human error.</br>ACTIONS: No adverse effects are expected from the overdose to the first patient. The second patient will receive a higher dose than planned at their next schedule treatment. The licensee plans on modifying their current procedures to prevent this event from occurring again. The Department plans to do a reactive inspection.</br>Event Report 10 No: PA120005</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. +
19:09:00, 20 January 2012 +
47,612 +
19:12:00, 20 January 2012 +
19:09:00, 20 January 2012 +
The following information was provided by … The following information was provided by the Commonwealth of Pennsylvania via facsimile:</br>On January 20, 2012, at 1409 EST, the Department's (PA Bureau of Radiation Protection) southeast regional office received notification via phone call about this ME (Medical Event).</br>On January 19, 2012, a worksheet was prepared for two patients who were to be treated on the same day, close in time. The worksheets were switched and each patient received the other patient's dose. The first patient reached stasis before receiving the full amount and received a dose 35% above the planned dose. The second patient received 55% less than what was planned.</br>CAUSE OF THE EVENT: Human error.</br>ACTIONS: No adverse effects are expected from the overdose to the first patient. The second patient will receive a higher dose than planned at their next schedule treatment. The licensee plans on modifying their current procedures to prevent this event from occurring again. The Department plans to do a reactive inspection.</br>Event Report 10 No: PA120005</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, 20 January 2012 +
PA-0130 +
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>.
23:17:41, 24 November 2018 +
19:12:00, 20 January 2012 +
0.00208 d (0.05 hours, 2.97619e-4 weeks, 6.849e-5 months) +
19:09:00, 20 January 2012 +
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.