Status:
Ready to upload
Record number:
1931
Adverse Occurrence type:
MPHO Type:
Estimated frequency:
Very rare
Time to detection:
9 months - follow the birth of the baby and the cystic fibrosis diagnosis confirmation
Alerting signals, symptoms, evidence of occurrence:
All babies in the UK undergo screening and the baby's screening identified the baby had cystic fibrosis.
Demonstration of imputability or root cause:
The root cause analysis identified the father's cystic fibrosis screening results were recorded correctly by the pathology laboratory (positive). However, this result was incorrectly stated as negative in a letter dictated by the Fertility Consultant.
Imputability grade:
3 Definite/Certain/Proven
Groups audience:
Keywords:
Reference attachment:
Suggest references:
Human Fertilisation and Embryology Authority, State of the fertility sector: 2016-2017
Expert comments for publication:
Abnormal results should be highlighted to draw attention to them. All abnormal results should be reviewed by the treating clinician who can then in turn discuss the implications for the family (including further screening of the partner and other family members who are considering starting a family).