ENS Event | |
|---|---|
05:00 Nov 1, 2018 | |
| Title | Agreement State Report - Misadministration Due to Batch Error |
| Event Description | The following information was received by the State of Florida:
At noon [on 11/7/18], [Akumin] called [the State of FL Bureau of Radiation Control] to report that both Akumin Hollywood and Akumin Aventura View ordered F-18 Fluciclovine, and received packages that were labeled as F-18 Fluciclovine, but were subsequently notified by their radiopharmaceutical vendor PET NET Solutions-Ft Lauderdale, on Thursday, November 1, 2018 that due to a 'batch error,' the packages actually contained F-18 FDG [Fludeoxyglucose]. Three patients were reported as receiving the incorrect radiopharmaceutical. Activity reported as approximately 10 mCi. Florida Incident: FL18-137 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 | |
|---|---|
| Akumin Jacksonville, Florida (NRC Region 1) | |
| License number: | 4510-4,6 |
| Organization: | Florida Bureau Of Radiation Control |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+153.73 h6.405 days <br />0.915 weeks <br />0.211 months <br />) | |
| Opened: | Matthew Senison 15:44 Nov 7, 2018 |
| NRC Officer: | Vince Klco |
| Last Updated: | Nov 7, 2018 |
| 53720 - NRC Website | |
Akumin with Agreement State | |
WEEKMONTHYEARENS 537202018-11-01T05:00:0001 November 2018 05:00:00
[Table view]Agreement State Agreement State Report - Misadministration Due to Batch Error 2018-11-01T05:00:00 | |