Skip to main content
  • Forums
  • Log in
  • Contact us
  • Policy
www.notifylibrary.org
  • The Notify Project
    • History
    • Who we are
    • Interviews
        1. Health authorities
        2. The Experts
    • Useful links
    • Global consultation reports
  • Search Library
    • Search tutorial
    • Adverse occurrence search
    • Reference search
    • Bibliographic list
        1. Authors
        2. Keywords
    • Add or update record
    • Editorial Group Tools
        1. MPHO taxonomy
        2. Adv. occurrence taxonomy
        3. Imputability table
        4. VIDEO TUTORIAL
    • Database content analysis
  • Notify Booklet
    • 1 INTRODUCTION
    • 2 THE V&S CHAIN FOR MPHOs
    • 3 VIGILANCE AND SURVEILLANCE: HISTORY AND BASIC ELEMENTS
    • 4 MEDICAL PRODUCTS OF HUMAN ORIGIN (MPHO) - DONATION AND ETHICS
    • ANNEX 1. Notify Library - MPHO type taxonomy
    • 5 TOWARDS A GLOBAL GOVERNANCE OF MPHO
    • 6 THE V&S SYSTEM IS PRIMARILY A RESPONSIBILITY FOR HEALTH AUTHORITIES
    • 7 ORGANIZATION FOR A COMPREHENSIVE - VIGILANCE & SURVEILLANCE SYSTEM
    • 8 VIGILANCE & SURVEILLANCE - RECOGNITION RELIES ON HEALTH CARE STAFF
    • 9 INVESTIGATING OCCURRENCES THAT COULD CAUSE HARM - LEARNING FROM ERRORS
    • 10 PROJECT NOTIFY
    • 11 THE NOTIFY DATABASE - LEARNING FROM VIGILANCE
    • 12 RISKS ASSOCIATED WITH LIVING DONATION
    • 13 HARM TO RECIPIENT - INFECTIONS
    • 14 HARM TO RECIPIENT - NON INFECTIOUS BLOOD TRANSFUSION REACTIONS
    • 15 HARM TO RECIPIENTS - MALIGNANCY
    • 16 HARM TO RECIPIENTS - GENETIC TRANSMISSIONS - HPC
    • 17 HARM TO RECIPIENTS - GENETIC TRANSMISSIONS - gamets and embryos
    • 18 CHARACTERISTICS, HANDLING AND CLINICAL ERRORS
    • 19 TRACEABILITY, AN ABSOLUTE PRE-REQUISITE FOR MPHO SAFETY
    • ANNEX 2. Notify Library - Adverse occurrence type taxonomy
    • REFERENCES
  • Background Documents
Home / Risk of harm / Unsuitable MPHO released for clinical use - no harm

Unsuitable MPHO released for clinical use - no harm

Code: 
1.4.3

Skin graft not measured properly and not acceptable resulting in discard by surgeon

127
  • Read more about Skin graft not measured properly and not acceptable resulting in discard by surgeon

Heart valve mislabeled, delay in surgery, unneeded exposure to anesthetic

124
  • Read more about Heart valve mislabeled, delay in surgery, unneeded exposure to anesthetic

Heart valve determined to be unusable due to excess tissue attachments, discarded

123
  • Read more about Heart valve determined to be unusable due to excess tissue attachments, discarded

Heart Valve fractures

120
  • Read more about Heart Valve fractures

Mislabeling: Decontaminated Achilles tendons were distributed as 'irradiated' Achilles tendons

119
  • Read more about Mislabeling: Decontaminated Achilles tendons were distributed as 'irradiated' Achilles tendons

Bone on bone-tendon-bone graft fragile and poor quality

117
  • Read more about Bone on bone-tendon-bone graft fragile and poor quality

Tendon graft too small and too short

116
  • Read more about Tendon graft too small and too short

Inability to recover tissue during recall due to lack of hospital records

114
  • Read more about Inability to recover tissue during recall due to lack of hospital records

Vascular conduit cracks, requring repair in operating theatre

107
  • Read more about Vascular conduit cracks, requring repair in operating theatre

Pages

  • « first
  • ‹ previous
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
↑
  • Forums
  • Log in
  • Contact us
  • Policy

Disclaimer

The cases, bibliography and associated comments included in this website and database have been provided by experts worldwide and reviewed by voluntary editorial working groups. The data and information is not guaranteed to be complete or to be fully up to date at any particular moment and it reflects the knowledge and views of the experts participating, not those of the World Health Organisation or the Italian National Transplant Centre.