ENS Event | |
|---|---|
04:00 Mar 22, 2012 | |
| Title | Agreement State Report - Patient Received Less than Intended Dose |
| Event Description | The following information was received via facsimile:
On March 23, 2012 the Southeast Regional Office [of the Pennsylvania Department of Environmental Protection - Bureau of Radiation Protection (Department)] received notice from the hospital of a medical event involving yittrium-90 TheraSpheres. The patient was being treated for disease of the liver and received 76% of the intended dose in the first delivery and 56% of the intended dose in the second delivery. The cause of the event is currently under investigation. More information will be provided when received. No harm to the patient is expected. The oncologist was satisfied with the treatment and no additional delivery is anticipated. The Department will conduct a reactive inspection. Pennsylvania Event Report ID No: PA120010 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 | |
|---|---|
| Thomas Jefferson University Hospital Philadelphia, Pennsylvania (NRC Region 1) | |
| License number: | PA-0130 |
| Organization: | Pa Bureau Of Radiation Protection |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+106.82 h4.451 days <br />0.636 weeks <br />0.146 months <br />) | |
| Opened: | Joseph Melnic 14:49 Mar 26, 2012 |
| NRC Officer: | Donald Norwood |
| Last Updated: | Mar 26, 2012 |
| 47771 - NRC Website | |
Thomas Jefferson University Hospital with Agreement State | |
WEEKMONTHYEARENS 527092017-04-25T04:00:00025 April 2017 04:00:00
[Table view]Agreement State Agreement State Report - Medical Event Due to Underdose of Yittrium-90 Theraspheres ENS 520932016-07-13T04:00:00013 July 2016 04:00:00 Agreement State Agreement State Report - Underdose Medical Event ENS 477712012-03-22T04:00:00022 March 2012 04:00:00 Agreement State Agreement State Report - Patient Received Less than Intended Dose ENS 476122012-01-20T19:09:00020 January 2012 19:09:00 Agreement State Agreement State Report - Misadministration of Dose to Patient ENS 472812011-09-16T18:14:00016 September 2011 18:14:00 Agreement State Agreement State Report - Medical Event Involving Y-90 Therasphere Underdose 2017-04-25T04:00:00 | |