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The following was received from the state The following was received from the state of Florida via email:</br>On 24 Feb. 2020, at 1315 EST, an underdose of radiation to a patient receiving skin therapy occurred. The patient was scheduled to receive five fractions, at 7.5 grays per fraction, on five different parts of the left hand per fraction. On the first dose of the first fraction, it was observed that catheter numbers 1 - 15 were reversed, causing an underdose to the patient. No Authorized Users were exposed to the source or otherwise contaminated. The licensee has agreed to submit further information on 26 Feb 2020. Since the cause of this incident is machine generated, in accordance with BRC (State of Florida Bureau of Radiation Control) procedures, it is not being given an incident number, and is being forwarded to ERCX (the X-Ray Machine Section of the BRC).</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.  +
18:15:00, 24 February 2020  +
54,544  +
18:03:00, 25 February 2020  +
18:15:00, 24 February 2020  +
The following was received from the state The following was received from the state of Florida via email:</br>On 24 Feb. 2020, at 1315 EST, an underdose of radiation to a patient receiving skin therapy occurred. The patient was scheduled to receive five fractions, at 7.5 grays per fraction, on five different parts of the left hand per fraction. On the first dose of the first fraction, it was observed that catheter numbers 1 - 15 were reversed, causing an underdose to the patient. No Authorized Users were exposed to the source or otherwise contaminated. The licensee has agreed to submit further information on 26 Feb 2020. Since the cause of this incident is machine generated, in accordance with BRC (State of Florida Bureau of Radiation Control) procedures, it is not being given an incident number, and is being forwarded to ERCX (the X-Ray Machine Section of the BRC).</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, 25 February 2020  +
3748-2  +
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>.
16:52:53, 15 January 2021  +
18:03:00, 25 February 2020  +
0.992 d (23.8 hours, 0.142 weeks, 0.0326 months)  +
18:15:00, 24 February 2020  +
Agreement State Report - Patient Underdose  +
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