Irradiated tissue discarded due to discoloration and odor

Record number: 
Adverse Occurrence type: 
MPHO Type: 
Alerting signals, symptoms, evidence of occurrence: 
Surgeon did not read the package insert and was unaware of the effects of irradiation on tissue appearance. Delay in surgery and loss of graft
Demonstration of imputability or root cause: 
Identified at the Hospital
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