Inability to identify recipient of tissue during recall

Record number:

152

Adverse Occurrence type:

Unsuitable MPHO released for clinical use - no harm

MPHO Type:

Alerting signals, symptoms, evidence of occurrence:

Contaminated tissue may have caused infection that could not be diagnosed in the recipient due to lack of records

Demonstration of imputability or root cause:

Discovered in the Hospital

Keywords:

References:

Notify exploring vigilance notification for organs, tissues and cells