Oocyte placed in dish with oocytes of other patient

Record number: 
988
Adverse Occurrence type: 
MPHO Type: 
Estimated frequency: 
Never reported before
Alerting signals, symptoms, evidence of occurrence: 
Oocyte placed in dish with oocytes of other patient during isolation out of follicle fluid. Oocytes destroyed because of risk for mix up. Total cycle lost of 1 couple, 1 oocyte lost of second couple
Demonstration of imputability or root cause: 
Human error
Suggest references: 
AAA