PNO-III-86-135, on 861006-08,patient Mistakenly Exposed to 2,000 Rads Instead of Prescribed 1,200 Rads During Co-60 Treatment for Blood Disease.Caused by Personnel Error. Misadministration Will Be Reviewed by NRC

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PNO-III-86-135, B:on 861006-08,radiation Therapy Misadministration Occurred.Caused by Miscalculation of Exposure Time for Each of Six Planned Treatment.Special NRC Medical Advisory Board Formed to Evaluate Case

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