ENS 45750: Difference between revisions
Jump to navigation
Jump to search
StriderTol (talk | contribs) (Created page by program invented by Mark Hawes) |
StriderTol (talk | contribs) (Created page by program invented by StriderTol) |
||
| Line 16: | Line 16: | ||
| event date = 11/08/2005 EST | | event date = 11/08/2005 EST | ||
| last update date = 03/08/2010 | | last update date = 03/08/2010 | ||
| title = Agreement State Report - Brachytherapy Dosage Less | | title = Agreement State Report - Brachytherapy Dosage Less than Prescribed | ||
| event text = The following information was obtained from the State of Ohio via email: | | event text = The following information was obtained from the State of Ohio via email: | ||
ODH [Ohio Department of Health] received information on 3/3/10 of a unreported medical event that occurred at Mercy St. Vincent Medical Center in Toledo on 11/8/05. ODH performed an on-site investigation on 3/5/10 and confirmed the unreported medical event. On 11/8/05, the licensee performed a prostate seed implant with 67 I-125 seeds prescribed to deliver a dose of 160 Gray to the prostate. Thirteen seeds were removed from the bladder immediately after the procedure leaving 54 seeds in the patient. A post implant dose calculation showed an under dose to the prostate greater than 20% of the prescribed dose. The licensee then performed an external beam treatment with a linear accelerator to treat the tumor. | ODH [Ohio Department of Health] received information on 3/3/10 of a unreported medical event that occurred at Mercy St. Vincent Medical Center in Toledo on 11/8/05. ODH performed an on-site investigation on 3/5/10 and confirmed the unreported medical event. On 11/8/05, the licensee performed a prostate seed implant with 67 I-125 seeds prescribed to deliver a dose of 160 Gray to the prostate. Thirteen seeds were removed from the bladder immediately after the procedure leaving 54 seeds in the patient. A post implant dose calculation showed an under dose to the prostate greater than 20% of the prescribed dose. The licensee then performed an external beam treatment with a linear accelerator to treat the tumor. | ||
Latest revision as of 22:10, 1 March 2018
| Where | |
|---|---|
| Mercy St. Vincent Medical Center Toledo, Ohio (NRC Region 3) | |
| License number: | 02120490000 |
| Organization: | Ohio Bureau Of Radiation Protection |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+37954.9 h1,581.454 days <br />225.922 weeks <br />51.991 months <br />) | |
| Opened: | Michael Snee 15:54 Mar 8, 2010 |
| NRC Officer: | Charles Teal |
| Last Updated: | Mar 8, 2010 |
| 45750 - NRC Website | |