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The following was received via email from … The following was received via email from the State of Texas:</br>On February 22, 2018, the licensee notified the Agency (Texas Department of State Health Services) that it had made the determination a medical event had occurred. On February 19, 2018, a patient received first fraction of treatment plan delivered by high dose rate afterloader (HDR) utilizing iridium-192. The patient returned on February 21st for the second fraction. The physicist was reviewing the information prior to treatment and found an error had occurred with the first treatment.</br>The licensee investigated and conducted dose reconstruction. The licensee's investigation revealed that the physicist performing the digitization of the 13 channels on HDR applicator had digitized channel #12 and when he went to channel #13 he failed to 'tell' the machine, which added the 5.5 centimeters that should have been in channel #13 onto channel #12. There was a high dwell time at the end of the extended 5.5 centimeters which resulted in a dose to tissue outside the target volume that exceeds 50 rem and 50% or more of the dose expected. The licensee reported a small amount of tissue received, and should tolerate, the extra dose. The referring physician has been notified. More information will be provided as it is obtained and in accordance with SA-300.</br>Texas Incident #: I -9546</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. +
06:00:00, 21 February 2018 +
53,226 +
18:51:00, 22 February 2018 +
06:00:00, 21 February 2018 +
The following was received via email from … The following was received via email from the State of Texas:</br>On February 22, 2018, the licensee notified the Agency (Texas Department of State Health Services) that it had made the determination a medical event had occurred. On February 19, 2018, a patient received first fraction of treatment plan delivered by high dose rate afterloader (HDR) utilizing iridium-192. The patient returned on February 21st for the second fraction. The physicist was reviewing the information prior to treatment and found an error had occurred with the first treatment.</br>The licensee investigated and conducted dose reconstruction. The licensee's investigation revealed that the physicist performing the digitization of the 13 channels on HDR applicator had digitized channel #12 and when he went to channel #13 he failed to 'tell' the machine, which added the 5.5 centimeters that should have been in channel #13 onto channel #12. There was a high dwell time at the end of the extended 5.5 centimeters which resulted in a dose to tissue outside the target volume that exceeds 50 rem and 50% or more of the dose expected. The licensee reported a small amount of tissue received, and should tolerate, the extra dose. The referring physician has been notified. More information will be provided as it is obtained and in accordance with SA-300.</br>Texas Incident #: I -9546</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, 22 February 2018 +
06090 +
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>.
13:01:22, 6 March 2018 +
18:51:00, 22 February 2018 +
1.535 d (36.85 hours, 0.219 weeks, 0.0505 months) +
06:00:00, 21 February 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.