ENS Event | |
|---|---|
22:30 Feb 15, 2011 | |
| Title | Agreement State Report - Possible Medical Event Due to Misadministration |
| Event Description | This is a preliminary report. Details will be provided at a later date.
During a general chart review, the licensee discovered that two pediatric patients were administered doses of P-32 albumin that appear to be in excess of 100% of the prescribed doses. The first event occurred approximately four months ago. The second event occurred approximately two months ago. These events may have each provided 1000 Rads excess dose to target tissue. The events may or may not involve a dispensing error. The doses were administered to tissue surrounding extremity joints of the two pediatric patients. Physicians do not expect any patient impact or unfavorable outcome from these misadministration. 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 | |
|---|---|
| Ut Southwestern Medical Center Dallas, Texas (NRC Region 4) | |
| License number: | Lo 0279 |
| Organization: | Texas Department Of Health |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+-3.13 h-0.13 days <br />-0.0186 weeks <br />-0.00429 months <br />) | |
| Opened: | Danny Jisha 19:22 Feb 15, 2011 |
| NRC Officer: | Donald Norwood |
| Last Updated: | Feb 15, 2011 |
| 46617 - NRC Website | |
Ut Southwestern Medical Center with Agreement State | |
WEEKMONTHYEARENS 466172011-02-15T22:30:00015 February 2011 22:30:00
[Table view]Agreement State Agreement State Report - Possible Medical Event Due to Misadministration ENS 420912005-08-15T21:00:00015 August 2005 21:00:00 Agreement State Agreement State Report 2011-02-15T22:30:00 | |