The prescribing physician ordered that a regular treadmill stress test be given to a patient. Instead of the correct test the hospital actually gave the patient a treadmill myocardial perfusion imaging test (MPIT) which uses a dose of Tc-99m.
At 9:44 AM on 5/19/08 the patient was given a dose of 16.3 milliCuries of Tc-99m for the resting portion of the MPIT. Then at 10:24 AM on 5/19/08 the patient was given a dose of 35.3 milliCuries of Tc-99m for the stress portion of the MPIT. This resulted in a total dose of 51.6 milliCuries of Tc-99m given to the patient which is typical for a MPIT procedure.
The hospital is currently conducting an investigation into this occurrence. The hospital will inform the patient of the error.
- * * RETRACTION PROVIDED BY CHARLES NARAYANAN TO J. KOZAL ON 05/21/08 AT 0916 EST * * *
Upon investigation the licensee has determined that the event does not meet the reporting requirements of 10 CFR 35.3045(a)(1).
Notified the R3DO (Riemer) and
FSME EO (Burgess).