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A patient received SAVI (Strut-Adjusted Vo … A patient received SAVI (Strut-Adjusted Volume Implant) High Dose Rate Treatments on January 26, 2018 and January 29, 2018. After the treatment, it was noted that the dwell time on one catheter appeared unusual. The treatment from January 26 was then reviewed and it was discovered that the catheters were labeled incorrectly during the initial treatment planning process. The physician was notified to review the delivered dose. Another physicist was contacted and remotely viewed the delivered treatment of the January 29 treatment as well as the treatment plan from January 26. This physicist came to the same conclusion that the catheters had been mislabeled on the January 26 CT scan. </br>The skin received a greater dose than intended for one delivered fraction. 1cc received 848cGy, intended 256cGy and 0.1cc received 1500cGy, intended 282cGy. A decision was made by the physician to cancel all further radiation treatments using the SAVI device and the catheter was removed. The patient was notified of the event, as well as the referring physicians.</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. +
15:30:00, 29 January 2018 +
53,187 +
17:20:00, 29 January 2018 +
15:30:00, 29 January 2018 +
A patient received SAVI (Strut-Adjusted Vo … A patient received SAVI (Strut-Adjusted Volume Implant) High Dose Rate Treatments on January 26, 2018 and January 29, 2018. After the treatment, it was noted that the dwell time on one catheter appeared unusual. The treatment from January 26 was then reviewed and it was discovered that the catheters were labeled incorrectly during the initial treatment planning process. The physician was notified to review the delivered dose. Another physicist was contacted and remotely viewed the delivered treatment of the January 29 treatment as well as the treatment plan from January 26. This physicist came to the same conclusion that the catheters had been mislabeled on the January 26 CT scan. </br>The skin received a greater dose than intended for one delivered fraction. 1cc received 848cGy, intended 256cGy and 0.1cc received 1500cGy, intended 282cGy. A decision was made by the physician to cancel all further radiation treatments using the SAVI device and the catheter was removed. The patient was notified of the event, as well as the referring physicians.</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, 29 January 2018 +
24-11128-02 +
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>.
01:41:03, 2 March 2018 +
17:20:00, 29 January 2018 +
0.0763 d (1.83 hours, 0.0109 weeks, 0.00251 months) +
15:30:00, 29 January 2018 +
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.