ENS 53148

v t e ENS Event
06:00 Jan 4, 2018
Title	Agreement State Report - Delivered Dosage Different from Prescribed
Event Description	The following was received from the State of Wisconsin: On January 4, 2018, the Department [Wisconsin Radiation Protection Section] received a telephone call and email from the licensee's medical physicist that a medical event of a prostate brachytherapy procedure was identified on January 4, 2018. The total dose delivered differs from the prescribed dose by 20% or more. This is a medical event as described in DHS [Department of Health Services] 157.72(1)(a)1.a. The prescribed dose was 145 Gy; the dose delivered was 105 Gy. The licensee uses D90 (dose delivered to 90% of the clinical target volume) < 80% for determining medical events. Using the licensee's dose based criteria; the dose received by the prostate was 75% of the intended dose. The post-implant computed tomography scan occurred on December 6, 2017. The subsequent dosimetric analysis was on January 3, 2018. The department will perform a site investigation to determine the root cause of this medical event. DHS inspectors will investigate this medical event. Wisconsin Event: WI180001 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 53148 +/-
Where
Aspirus-Wausau Hospital Wausau, Illinois (NRC Region 3)
License number:	073-1342-01
Organization:	Wisconsin Radiation Protection
Reporting

Agreement State
Time - Person (Reporting Time:+26.5 h1.104 days <br />0.158 weeks <br />0.0363 months <br />)
Opened:	Krista Kuhlman 08:30 Jan 5, 2018
NRC Officer:	Andrew Waugh
Last Updated:	Jan 5, 2018
53148 - NRC Website
v • d • e

v t e Emergency Notification System
Aspirus-Wausau Hospital with Agreement State
WEEKMONTHYEAR2023-11-08T06:00:00 [Table view]
[ENS list for Aspirus-Wausau Hospital]

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