ENS 46617: Difference between revisions
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| facility = Ut Southwestern Medical Center | | facility = Ut Southwestern Medical Center | ||
| Organization = Texas Department Of Health | | Organization = Texas Department Of Health | ||
| license number = | | license number = LO 0279 | ||
| region = 4 | | region = 4 | ||
| state = Texas | | state = Texas | ||
| Line 16: | Line 16: | ||
| event date = 02/15/2011 16:30 CST | | event date = 02/15/2011 16:30 CST | ||
| last update date = 02/15/2011 | | last update date = 02/15/2011 | ||
| title = Agreement State Report - Possible Medical Event Due | | title = Agreement State Report - Possible Medical Event Due to Misadministration | ||
| event text = This is a preliminary report. Details will be provided at a later date. | | event text = This is a preliminary report. Details will be provided at a later date. | ||
During a general chart review, the licensee discovered that two pediatric patients were administered doses of P-32 albumin that appear to be in excess of 100% of the prescribed doses. The first event occurred approximately four months ago. The second event occurred approximately two months ago. These events may have each provided 1000 Rads excess dose to target tissue. The events may or may not involve a dispensing error. The doses were administered to tissue surrounding extremity joints of the two pediatric patients. | During a general chart review, the licensee discovered that two pediatric patients were administered doses of P-32 albumin that appear to be in excess of 100% of the prescribed doses. The first event occurred approximately four months ago. The second event occurred approximately two months ago. These events may have each provided 1000 Rads excess dose to target tissue. The events may or may not involve a dispensing error. The doses were administered to tissue surrounding extremity joints of the two pediatric patients. | ||
Latest revision as of 18:21, 24 November 2018
| Where | |
|---|---|
| Ut Southwestern Medical Center Dallas, Texas (NRC Region 4) | |
| License number: | LO 0279 |
| Organization: | Texas Department Of Health |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+-3.13 h-0.13 days <br />-0.0186 weeks <br />-0.00429 months <br />) | |
| Opened: | Danny Jisha 19:22 Feb 15, 2011 |
| NRC Officer: | Donald Norwood |
| Last Updated: | Feb 15, 2011 |
| 46617 - NRC Website | |