ENS 57845: Difference between revisions

ENS 57845 +/-
Where
	Doctors Hospital ; Augusta, Georgia (NRC Region 1)
License number:	GA 615-1
Organization:	Georgia Radioactive Material Pgm
Reporting
	Agreement State
Time - Person (Reporting Time:+612.48 h25.52 days <br />3.646 weeks <br />0.839 months <br />)
Opened:	Anastasia Bennett; 16:29 Aug 1, 2025
NRC Officer:	Jon Lilliendahl
Last Updated:	Aug 1, 2025
	57845 - NRC Website
	v • d • e

Revision as of 06:20, 8 August 2025

v t e ENS Event
04:00 Jul 7, 2025
Title	Medical Event
Event Description	The following report was provided by the Georgia Radioactive Materials Program via email: The licensee called and stated that during a post treatment review with the physician conducted today, it was identified that a patient receiving yttrium-90 therapy on July 7, 2025, was underexposed due to a kink in the catheter. The prescribed dose was 0.439 GBq (11.853 mCi), but the administered dose was determined to be 0.177 GBq (4.779 mCi). This represents a 40.32 percent deviation from the prescribed dose, which exceeds the 20 percent reporting threshold. Upon further review of the patient's treatment history, it was additionally discovered that two prior underdosing events occurred on August 20, 2024, and September 30, 2024. Both events were also attributed to catheter kinking and involved dose delivery to small treatment volumes in limited target areas. [The licensee] stated that a formal written report detailing all three underdosing events, along with supporting documentation, will be submitted via email on Monday, August 4, 2025. Georgia Incident Number: 105 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.

v t e Emergency Notification System
Doctors Hospital with Agreement State
WEEKMONTHYEAR2025-07-07T04:00:00 [Table view]
[ENS list for Doctors Hospital]