ENS 53138

v t e ENS Event
06:00 Nov 1, 2017
Title	Agreement State Report - Total Dose Delivered Differed from Prescribed Dose by Greater than 20%
Event Description	The following information was received from the State of Wisconsin via email: On December 28, 2017, the Wisconsin Department of Health Services (DHS) received notice that the licensee identified a prostate manual brachytherapy procedure where the total dose delivered differed from the prescribed dose by 20% or more. The implant occurred in November 2017 and post-implant dosimetric analysis was performed on December 27, 2017. The prescribed dose was 110 Gy; the dose delivered to the treatment site (D90) was 56.5% of the intended dose. DHS inspectors will investigate this medical event. Event Report ID No.: WI170023 The licensee will compensate for the underdose with subsequent scheduled beam therapy. 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.

ENS 53138 +/-
Where
Wheaton Franciscan Healthcare-Elmbrook Memorial Brookfield, Wisconsin (NRC Region 3)
License number:	079-1092-01
Organization:	Wisconsin Radiation Protection
Reporting

Agreement State
Time - Person (Reporting Time:+1373.83 h57.243 days <br />8.178 weeks <br />1.882 months <br />)
Opened:	Megan Shober 12:50 Dec 28, 2017
NRC Officer:	Steve Sandin
Last Updated:	Dec 28, 2017
53138 - NRC Website
v • d • e

v t e Emergency Notification System
Wheaton Franciscan Healthcare-Elmbrook Memorial with Agreement State
WEEKMONTHYEAR2017-11-01T06:00:00 [Table view]
[ENS list for Wheaton Franciscan Healthcare-Elmbrook Memorial]

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