ENS 49939: Difference between revisions
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| event date = 03/11/2012 EDT | | event date = 03/11/2012 EDT | ||
| last update date = 03/20/2014 | | last update date = 03/20/2014 | ||
| title = Agreement State Report - Error | | title = Agreement State Report - Error in Dose Calculation and Underdose Administration | ||
| event text = The following was received from the Commonwealth of Virginia via fax: | | event text = The following was received from the Commonwealth of Virginia via fax: | ||
Event description: On March 18, 2014, the licensee identified an error in a dose calculation for high dose rate (HDR) treatments administered to a patient on March 11-12. The initial report from the licensee indicates the patient was administered two out of a total of six prescribed fractionated doses. An error was made in planning the correct dwell position for the two fractions. The administered dose differed from the prescribed dose (was less than) by more than 20 percent. The licensee plans to correct for the underdose during the remaining fractions. The licensee is investigating if the dose to tissues other than the treatment site may have met the definition of a medical event. | Event description: On March 18, 2014, the licensee identified an error in a dose calculation for high dose rate (HDR) treatments administered to a patient on March 11-12. The initial report from the licensee indicates the patient was administered two out of a total of six prescribed fractionated doses. An error was made in planning the correct dwell position for the two fractions. The administered dose differed from the prescribed dose (was less than) by more than 20 percent. The licensee plans to correct for the underdose during the remaining fractions. The licensee is investigating if the dose to tissues other than the treatment site may have met the definition of a medical event. | ||
Latest revision as of 21:51, 1 March 2018
| Where | |
|---|---|
| Inova Fairfax Hospital Falls Church, Virginia (NRC Region 1) | |
| License number: | 610-116-1 |
| Organization: | Virginia Rad Materials Program |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+17750.52 h739.605 days <br />105.658 weeks <br />24.315 months <br />) | |
| Opened: | Charles Coleman 17:31 Mar 20, 2014 |
| NRC Officer: | John Shoemaker |
| Last Updated: | Mar 20, 2014 |
| 49939 - NRC Website | |