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The following report was received from theThe following report was received from the North Carolina Division of Health Service Regulation via email:</br>A prostate patient returned for a 30 day post treatment review and CT scan. Licensee Physics Group reviewed the Post Op Plan with the Intended Plan. It was found that when the Intended Plan was entered into the planning software, a dosimetrist entered an incorrect source strength into the planning system, causing the planning system to appear to be implanting weaker seeds than were being implanted resulting in an over dose of 20 percent.</br>Event Date: 3/5/19</br>Discovered Date: 3/28/1</br>Prescribed dose: 164.85 mCi</br>Administered dose: 213.15 mCi</br>Isotope: PD-103. </br>Target organ: Prostate</br>Referring Physician notified on: 3/28/19</br>Patient notified on: 3/28/19</br>Effects/Outcome to the Patient: None anticipated. Physician will monitor patient for side effects.</br>Notifications & Generic Implications: None.</br>Corrective Action: Procedure revision.</br>A reactive inspection was conducted today (by the North Carolina Division of Health Service Regulation). Following this entry into NMED we (the North Carolina Division of Health Service Regulation) would like to request the event be closed and complete. We (the North Carolina Division of Health Service Regulation) have concluded our investigation.</br>NC Tracking Number: 190011</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.not necessarily result in harm to the patient.  +
04:00:00, 5 March 2019  +
53,963  +
11:01:00, 29 March 2019  +
04:00:00, 5 March 2019  +
The following report was received from theThe following report was received from the North Carolina Division of Health Service Regulation via email:</br>A prostate patient returned for a 30 day post treatment review and CT scan. Licensee Physics Group reviewed the Post Op Plan with the Intended Plan. It was found that when the Intended Plan was entered into the planning software, a dosimetrist entered an incorrect source strength into the planning system, causing the planning system to appear to be implanting weaker seeds than were being implanted resulting in an over dose of 20 percent.</br>Event Date: 3/5/19</br>Discovered Date: 3/28/1</br>Prescribed dose: 164.85 mCi</br>Administered dose: 213.15 mCi</br>Isotope: PD-103. </br>Target organ: Prostate</br>Referring Physician notified on: 3/28/19</br>Patient notified on: 3/28/19</br>Effects/Outcome to the Patient: None anticipated. Physician will monitor patient for side effects.</br>Notifications & Generic Implications: None.</br>Corrective Action: Procedure revision.</br>A reactive inspection was conducted today (by the North Carolina Division of Health Service Regulation). Following this entry into NMED we (the North Carolina Division of Health Service Regulation) would like to request the event be closed and complete. We (the North Carolina Division of Health Service Regulation) have concluded our investigation.</br>NC Tracking Number: 190011</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.not necessarily result in harm to the patient.  +
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00:00:00, 29 March 2019  +
060-0019-1  +
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>.
11:30:04, 9 April 2019  +
11:01:00, 29 March 2019  +
24.334 d (584.02 hours, 3.476 weeks, 0.8 months)  +
04:00:00, 5 March 2019  +
Agreement State Report - Incorrect Source Strength Entered Resulting in Overdose of 20 Percent  +
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