ENS Event | |
|---|---|
06:00 Aug 28, 2009 | |
| Title | Agreement State Report - Brachytherapy Patient Received More than Prescribed Dose |
| Event Description | The following information was received via NMED report #090706:
Hardin Memorial Hospital reported that a patient received 26.9% more dose than prescribed during prostate seed implant procedure on 8/28/09. The patient received I-125 brachytherapy seeds with a total activity of 1.26 GBq (34.054 mCi) instead of the prescribed 0.99 GBq (26.825 mCi). It is believed that the medical physicist calculated dose to the prostate using air kerma instead of milliCurie. All physicians and the patient have been notified of the mistake. 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 | |
|---|---|
| Hardin Memorial Hospital Elizabethtown, Kentucky (NRC Region 1) | |
| License number: | KY-202-148-26 |
| Organization: | Kentucky Dept Of Radiation Control |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+1755.83 h73.16 days <br />10.451 weeks <br />2.405 months <br />) | |
| Opened: | Angela Sharyock 10:50 Nov 9, 2009 |
| NRC Officer: | Charles Teal |
| Last Updated: | Nov 9, 2009 |
| 45485 - NRC Website | |
Hardin Memorial Hospital with Agreement State | |
WEEKMONTHYEARENS 535852018-09-07T04:00:0007 September 2018 04:00:00
[Table view]Agreement State Agreement State Report - Administered Dose Lower than Prescribed Dose ENS 526112017-02-16T05:00:00016 February 2017 05:00:00 Agreement State Agreement State Report - Administered Dose Lower than Prescribed Dose ENS 509342015-03-25T17:00:00025 March 2015 17:00:00 Agreement State Agreement State Report - Medical Event During Prostate Brachytherapy ENS 491972013-07-16T16:30:00016 July 2013 16:30:00 Agreement State Agreement State Report - Permanent Prostate Brachytherapy Underdose ENS 480862012-06-04T05:00:0004 June 2012 05:00:00 Agreement State Kentucky Agreement State Report - Medical Event Involving Prostate Seed Implants ENS 454852009-08-28T06:00:00028 August 2009 06:00:00 Agreement State Agreement State Report - Brachytherapy Patient Received More than Prescribed Dose 2018-09-07T04:00:00 | |