ENS 51287: Difference between revisions
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| event date = 07/30/2015 12:00 CDT | | event date = 07/30/2015 12:00 CDT | ||
| last update date = 08/04/2015 | | last update date = 08/04/2015 | ||
| title = Medical Event Resulting | | title = Medical Event Resulting from Actual Treatment Dose 30 Percent Greater than Prescribed | ||
| event text = On 7/31/2015, a patient was undergoing a single treatment for liver cancer using Y-90 microspheres (SIR-Spheres) with a prescribed dose from the physicians written directive of 29.43 milliCi. On 8/4/2015, it was discovered that the patient actually received 38.2 milliCi dose due a calculation error based on the physician's initial written directive when the physician had decided on a final dose reduction prior to treatment. The physician has been notified and believes that there will be no adverse effects to the patient. The patient will be notified on 8/5/2015. | | event text = On 7/31/2015, a patient was undergoing a single treatment for liver cancer using Y-90 microspheres (SIR-Spheres) with a prescribed dose from the physicians written directive of 29.43 milliCi. On 8/4/2015, it was discovered that the patient actually received 38.2 milliCi dose due a calculation error based on the physician's initial written directive when the physician had decided on a final dose reduction prior to treatment. The physician has been notified and believes that there will be no adverse effects to the patient. The patient will be notified on 8/5/2015. | ||
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. | 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. | ||
Latest revision as of 21:47, 1 March 2018
| Where | |
|---|---|
| Sanford Health Sioux Falls, South Dakota (NRC Region 4) | |
| License number: | 40-12378-01 |
| Organization: | Sanford Health |
| Reporting | |
| 10 CFR 35.3045(a)(1) | |
| Time - Person (Reporting Time:+121.15 h5.048 days <br />0.721 weeks <br />0.166 months <br />) | |
| Opened: | Steven Moeckly 18:09 Aug 4, 2015 |
| NRC Officer: | Jeff Rotton |
| Last Updated: | Aug 4, 2015 |
| 51287 - NRC Website | |