ENS Event | |
|---|---|
17:00 Jul 30, 2015 | |
| Title | Medical Event Resulting from Actual Treatment Dose 30 Percent Greater than Prescribed |
| Event Description | 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. |
| 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 | |
Sanford Health with 10 CFR 35.3045(a)(1) | |
WEEKMONTHYEARENS 512872015-07-30T17:00:00030 July 2015 17:00:00
[Table view]10 CFR 35.3045(a)(1) Medical Event Resulting from Actual Treatment Dose 30 Percent Greater than Prescribed 2015-07-30T17:00:00 | |