Corneas lost due to transportation error

Record number: 
734
Adverse Occurrence type: 
MPHO Type: 
Alerting signals, symptoms, evidence of occurrence: 
Loss of tissue; Corneas transported to eye bank but information not communicated in time so corneas kept beyond specified limit (expired) before being received into eye bank
Demonstration of imputability or root cause: 
Self evident; detected in the eye bank before release
Suggest references: 
AAA