ENS Event | |
|---|---|
06:00 Dec 30, 2020 | |
| Title | Agreement State Report - Underdose to Patient Undergoing Radiation Treatment |
| Event Description | The following information was received from the Texas Department of State Health Services (the Agency) via email:
"On December 30, 2020, the Agency was notified by the licensee's radiation safety officer (RSO) that a medical event had occurred at their facility. A patient was to receive a single fraction of 700 centigray from a high dose rate remote afterloader unit (HDR) but received a dose of 525 centigray. The patient was notified of the error and the RSO stated they were in the process of notifying the physician. The RSO stated that there would be no adverse effects to the patient from the error. The RSO was unsure of the manufacturer and model of the HDR unit and the activity of the iridium source that was used. Additional information was requested by the Agency. Additional information will be provided as it is received in accordance with SA-300." Texas Incident No.: 9819 |
| Where | |
|---|---|
| Scott And White Memorial Hospital Temple, Texas (NRC Region 4) | |
| License number: | L 00331 |
| Organization: | Texas Dept Of State Health Services |
| Reporting | |
| Agreement State | |
| Time - Person (Reporting Time:+6.95 h0.29 days <br />0.0414 weeks <br />0.00952 months <br />) | |
| Opened: | Art Tucker 12:57 Dec 30, 2020 |
| NRC Officer: | Howie Crouch |
| Last Updated: | Dec 30, 2020 |
| 55051 - NRC Website | |
Scott And White Memorial Hospital with Agreement State | |
WEEKMONTHYEARENS 550512020-12-30T06:00:00030 December 2020 06:00:00
[Table view]Agreement State Underdose to Patient Undergoing Radiation Treatment 2020-12-30T06:00:00 | |