The following information was obtained from the State of
Wisconsin via facsimile:
The Wisconsin Department of Health Services (DHS) received a phone call from the Imaging Manager at Aurora Medical Center of Washington County on August 30, 2011, that a patient received a dose of 5 mCi of I-131 on February 2, 2011. The patient, according to the written directive, was to receive a dose of 5 mCi of I-123. This diagnostic procedure was ordered to evaluate whether any thyroid tissue remained following an iodine ablation dose one year earlier.
DHS conducted an investigation on August 31, 2011 and the licensee will submit a 15-day written report concerning the medical event. At this time, the licensee is evaluating their process and is developing a new written directive form. The authorized user will discuss this with the referring physician to determine if the patient will be notified.
Wisconsin Report ID: WI110013
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.