ENS 48128: Difference between revisions
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| event date = 07/24/2012 CDT | | event date = 07/24/2012 CDT | ||
| last update date = 07/24/2012 | | last update date = 07/24/2012 | ||
| title = Agreement State Report- Underdose During | | title = Agreement State Report- Underdose During a Brachytherapy Treatment | ||
| event text = The following information was received by email: | | event text = The following information was received by email: | ||
Wisconsin Department of Health Services (DHS) received notification via voicemail from the licensee on July 23, 2012 regarding the discovery of a brachytherapy medical event that occurred on July 17, 2007. The medical event involved a procedure during which the administered dose differed from the prescribed dose by more than 20% (underdose) for permanent prostate implants using Cs-131 seeds. The prescribed dose was 115 Gy. The delivered dose was 60 Gy. The medical event was identified by DHS inspectors during a recent routine inspection, at which time the inspectors also determined that the licensee had not conducted adequate review of their prostate brachytherapy cases against their medical event criteria. | Wisconsin Department of Health Services (DHS) received notification via voicemail from the licensee on July 23, 2012 regarding the discovery of a brachytherapy medical event that occurred on July 17, 2007. The medical event involved a procedure during which the administered dose differed from the prescribed dose by more than 20% (underdose) for permanent prostate implants using Cs-131 seeds. The prescribed dose was 115 Gy. The delivered dose was 60 Gy. The medical event was identified by DHS inspectors during a recent routine inspection, at which time the inspectors also determined that the licensee had not conducted adequate review of their prostate brachytherapy cases against their medical event criteria. | ||
Latest revision as of 21:03, 1 March 2018
| Where | |
|---|---|
| Watertown Memorial Hospital Watertown, Wisconsin (NRC Region 3) | |
| License number: | 055-1335-01 |
| Organization: | Wisconsin Radiation Protection |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+9.38 h0.391 days <br />0.0558 weeks <br />0.0128 months <br />) | |
| Opened: | Royston Ngwayah 14:23 Jul 24, 2012 |
| NRC Officer: | Vince Klco |
| Last Updated: | Jul 24, 2012 |
| 48128 - NRC Website | |