ENS Event | |
|---|---|
19:00 Jan 14, 2010 | |
| Title | Incorrect Dose Administered to Patient |
| Event Description | Two patients were to receive hyper thyroid therapy on 1/14/10, and the hospital prepared written directives for each patient. One patient was prescribed 25 milliCurie of I-131. The second patient was prescribed 30 milliCurie of I-131. The first patient arrived and the technician assayed and administered the 30 milliCurie dose for the patient who was to receive 25 milliCurie. The tech administered 31.4 milliCurie to the patient. This is a 25.6% difference than prescribed in the written directive for the patient. The patient and prescribing physician have not been informed. The hospital does not believe there is any long term medical consequence to the patient. The hospital management team is reviewing protocols to prevent recurrence of this event.
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 | |
|---|---|
| Qhg Of Indiana Fort Wayne, Indiana (NRC Region 3) | |
| License number: | 13-01535-01 |
| Organization: | Qhg Of Indiana |
| Reporting | |
| 10 CFR 35.3045(a)(1) | |
| Time - Person (Reporting Time:+-3 h-0.125 days <br />-0.0179 weeks <br />-0.00411 months <br />) | |
| Opened: | Thomas M. Kumpuris 16:00 Jan 14, 2010 |
| NRC Officer: | Joe O'Hara |
| Last Updated: | Jan 14, 2010 |
| 45630 - NRC Website | |
Qhg Of Indiana with 10 CFR 35.3045(a)(1) | |
WEEKMONTHYEARENS 456302010-01-14T19:00:00014 January 2010 19:00:00
[Table view]10 CFR 35.3045(a)(1) Incorrect Dose Administered to Patient 2010-01-14T19:00:00 | |