The following information was provided by the Maryland Department of the Environment (MDE) via email: It does not necessarily result in harm to the patient.ĪGREEMENT STATE REPORT - DAMAGED TROXLER GAUGE
Eight (8) fractions were delivered with incorrect dwell time before this was noted.'Ī Medical Event may indicate potential problems in a medical facility's use of radioactive materials. staff did not verify the dwell times between the planning and delivery systems, resulting in using an incorrect dwell time. Because of this, the planning and delivery systems are not linked. The delivery system is on a windows XP based personal computer and due to computer security, a windows XP based computer cannot be on the network.
The estimated actual dose was 30 percent greater. A 52-year old female was being treated with 10 fractions of High Dose Rate I-192. 'This is a medical event resulting from an overexposure of the breast. The following information was provided by the Florida Bureau of Radiation Control via email: AGREEMENT STATE REPORT - PATIENT OVEREXPOSURE
