ENS 50321: 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 = 07/28/2014 CDT | | event date = 07/28/2014 CDT | ||
| last update date = 08/29/2014 | | last update date = 08/29/2014 | ||
| title = Agreement State Report - Medical Misadministration Due | | title = Agreement State Report - Medical Misadministration Due to Treatment Given to Wrong Patient | ||
| event text = The following information was obtained from the state of Texas via email: | | event text = The following information was obtained from the state of Texas via email: | ||
On July 30, 2014, the Agency was notified by the licensee that a patient had received a portion of a treatment intended for a different patient. The licensee's Risk Compliance Officer (RCO) stated two patients had arrived for treatment. Both patients were female of similar size. Both were to receive treatment to the brain, one patient to the right side and the other to the left side. The treatment head frame had been placed on both patients. It was decided that patient two would be treated first. This information was not provided to the individual entering the program into the treatment system so the program for patient one was entered into the treatment system. Patient two was placed on the treatment table and the treatment started. About two minutes into the treatment, a physician reviewing the treatment realized the wrong plan for the patient was being used and halted the treatment. | On July 30, 2014, the Agency was notified by the licensee that a patient had received a portion of a treatment intended for a different patient. The licensee's Risk Compliance Officer (RCO) stated two patients had arrived for treatment. Both patients were female of similar size. Both were to receive treatment to the brain, one patient to the right side and the other to the left side. The treatment head frame had been placed on both patients. It was decided that patient two would be treated first. This information was not provided to the individual entering the program into the treatment system so the program for patient one was entered into the treatment system. Patient two was placed on the treatment table and the treatment started. About two minutes into the treatment, a physician reviewing the treatment realized the wrong plan for the patient was being used and halted the treatment. | ||
Latest revision as of 21:49, 1 March 2018
| Where | |
|---|---|
| Covenant Health System Lubbock, Texas (NRC Region 4) | |
| License number: | 06028 |
| Organization: | Texas Department Of Health |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+53.8 h2.242 days <br />0.32 weeks <br />0.0737 months <br />) | |
| Opened: | Art Tucker 10:48 Jul 30, 2014 |
| NRC Officer: | Dong Park |
| Last Updated: | Aug 29, 2014 |
| 50321 - NRC Website | |