ENS 52807: Difference between revisions
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| event date = 06/14/2017 YDT | | event date = 06/14/2017 YDT | ||
| last update date = 06/28/2017 | | last update date = 06/28/2017 | ||
| title = Patient Received | | title = Patient Received a Higher Dose than Prescribed | ||
| event text = On 6/14/17 a patient undergoing treatment using Sir-Spheres (Y-90) received a dose of 540 Gray instead of the 110 Gray prescribed. This occurred due to a calibration error. The prescribing physician discussed the error with the patient who was released and returned home. The Radiation Safety Officer (RSO) is investigating the incident. No adverse effect to the patient has been observed to date. | | event text = On 6/14/17 a patient undergoing treatment using Sir-Spheres (Y-90) received a dose of 540 Gray instead of the 110 Gray prescribed. This occurred due to a calibration error. The prescribing physician discussed the error with the patient who was released and returned home. The Radiation Safety Officer (RSO) is investigating the incident. No adverse effect to the patient has been observed to date. | ||
* * * UPDATE PROVIDED BY YONGLI NING TO JEFF ROTTON AT 1816 EDT ON 06/28/2017 * * * | * * * UPDATE PROVIDED BY YONGLI NING TO JEFF ROTTON AT 1816 EDT ON 06/28/2017 * * * | ||
Latest revision as of 20:42, 1 March 2018
| Where | |
|---|---|
| Providence Alaska Medical Center Anchorage, Alaska (NRC Region 4) | |
| License number: | 50-17838-01 |
| Organization: | Providence Alaska Medical Center |
| Reporting | |
| 10 CFR 35.3045(a)(1) | |
| Time - Person (Reporting Time:+31.43 h1.31 days <br />0.187 weeks <br />0.0431 months <br />) | |
| Opened: | Yongli Ning 15:26 Jun 15, 2017 |
| NRC Officer: | Steve Sandin |
| Last Updated: | Jun 28, 2017 |
| 52807 - NRC Website | |