ENS 56218

v t e ENS Event
07:00 Nov 10, 2022
Title	Patient Underdose
Event Description	The following information was received from the Arizona Department of Health Services (the Department) via email: On November 10, 2022, the Department received notification from the licensee about a medical event involving Y-90 Theraspheres. A patient was prescribed a dose of 150 Gy but was delivered 79.05 Gy, a percent dose delivered of 52.7 percent. The Department has requested additional information and continues to investigate the event. Arizona Incident No.22-014 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 56218 +/-
Where
Banner University Medical Center Tucson, Arizona (NRC Region 4)
License number:	10-044
Organization:	Arizona Dept Of Health Services
Reporting

Agreement State
Time - Person (Reporting Time:+12.17 h0.507 days <br />0.0724 weeks <br />0.0167 months <br />)
Opened:	Brian Goretzki 19:10 Nov 10, 2022
NRC Officer:	Brian Lin
Last Updated:	Nov 10, 2022
56218 - NRC Website
v • d • e

v t e Emergency Notification System
Banner University Medical Center with Agreement State
WEEKMONTHYEAR2025-08-25T07:00:00 [Table view]
[ENS list for Banner University Medical Center]

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