Record number:
985
Adverse Occurrence type:
MPHO Type:
Estimated frequency:
Never reported before
Alerting signals, symptoms, evidence of occurrence:
Just before transplantation the HLA matched cornea accidentally dropped on the non-sterile thumb of an operating theatre team member. Operation was deferred because of risk contamination
Demonstration of imputability or root cause:
Non sterile handling of cornea
Keywords:
References:
Suggest references:
AAA