ENS 47946: 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 = 05/17/2012 08:00 EDT | | event date = 05/17/2012 08:00 EDT | ||
| last update date = 05/22/2012 | | last update date = 05/22/2012 | ||
| title = Medical Event - Patient Injected | | title = Medical Event - Patient Injected with Wrong Radiopharmaceutical and Quantity | ||
| event text = A patient scheduled for a lymphoscintigraphy procedure was incorrectly injected with 25 milliCuries of Tc-99M Medronate instead of the prescribed 3 milliCuries of Tc-99 Sulphur Colloid. The cause of the event was human error. The patient and physician have been notified. The physician believes there will be no long term adverse effects due to this error. In order to prevent reoccurrence, the nuclear medicine staff will add this event to staff training to ensure that staff double check the label and the dosage and drug. Other options are still being assessed. | | event text = A patient scheduled for a lymphoscintigraphy procedure was incorrectly injected with 25 milliCuries of Tc-99M Medronate instead of the prescribed 3 milliCuries of Tc-99 Sulphur Colloid. The cause of the event was human error. The patient and physician have been notified. The physician believes there will be no long term adverse effects due to this error. In order to prevent reoccurrence, the nuclear medicine staff will add this event to staff training to ensure that staff double check the label and the dosage and drug. Other options are still being assessed. | ||
The licensee also notified NRC Region 3 (Bob Gattone). | The licensee also notified NRC Region 3 (Bob Gattone). | ||
Latest revision as of 21:04, 1 March 2018
| Where | |
|---|---|
| University Of Michigan Hospital Ann Arbor, Michigan (NRC Region 3) | |
| License number: | 21-00215-04 |
| Organization: | University Of Michigan Hospital |
| Reporting | |
| 10 CFR 35.3045(a)(1) | |
| Time - Person (Reporting Time:+124.58 h5.191 days <br />0.742 weeks <br />0.171 months <br />) | |
| Opened: | Mark Driscoll 16:35 May 22, 2012 |
| NRC Officer: | Joe O'Hara |
| Last Updated: | May 22, 2012 |
| 47946 - NRC Website | |