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    • 1 INTRODUCTION
    • 2 THE V&S CHAIN FOR MPHOs
    • 3 VIGILANCE AND SURVEILLANCE: HISTORY AND BASIC ELEMENTS
    • 4 MEDICAL PRODUCTS OF HUMAN ORIGIN (MPHO) - DONATION AND ETHICS
    • ANNEX 1. Notify Library - MPHO type taxonomy
    • 5 TOWARDS A GLOBAL GOVERNANCE OF MPHO
    • 6 THE V&S SYSTEM IS PRIMARILY A RESPONSIBILITY FOR HEALTH AUTHORITIES
    • 7 ORGANIZATION FOR A COMPREHENSIVE - VIGILANCE & SURVEILLANCE SYSTEM
    • 8 VIGILANCE & SURVEILLANCE - RECOGNITION RELIES ON HEALTH CARE STAFF
    • 9 INVESTIGATING OCCURRENCES THAT COULD CAUSE HARM - LEARNING FROM ERRORS
    • 10 PROJECT NOTIFY
    • 11 THE NOTIFY DATABASE - LEARNING FROM VIGILANCE
    • 12 RISKS ASSOCIATED WITH LIVING DONATION
    • 13 HARM TO RECIPIENT - INFECTIONS
    • 14 HARM TO RECIPIENT - NON INFECTIOUS BLOOD TRANSFUSION REACTIONS
    • 15 HARM TO RECIPIENTS - MALIGNANCY
    • 16 HARM TO RECIPIENTS - GENETIC TRANSMISSIONS - HPC
    • 17 HARM TO RECIPIENTS - GENETIC TRANSMISSIONS - gamets and embryos
    • 18 CHARACTERISTICS, HANDLING AND CLINICAL ERRORS
    • 19 TRACEABILITY, AN ABSOLUTE PRE-REQUISITE FOR MPHO SAFETY
    • ANNEX 2. Notify Library - Adverse occurrence type taxonomy
    • REFERENCES
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Home / Tissues / Musculoskeletal / Bone

Bone

Code: 
2.2.1.1

Pseudomonas aeruginosa

62
  • Read more about Pseudomonas aeruginosa

Staphylococcus epidermidis

27
  • Read more about Staphylococcus epidermidis

Mycobacterium tuberculosis (including multi-drug resistant strains)

21
  • Read more about Mycobacterium tuberculosis (including multi-drug resistant strains)

Human immunodeficiency virus (HIV)

19
  • Read more about Human immunodeficiency virus (HIV)

Elizabethkingia meningoseptica

12
  • Read more about Elizabethkingia meningoseptica

Tissue procured from wrong body

169
  • Read more about Tissue procured from wrong body

Improper rehydration of bone graft resulted in graft fracture at time of implant. Prolonged Operating time, surgeon had a back up graft.

167
  • Read more about Improper rehydration of bone graft resulted in graft fracture at time of implant. Prolonged Operating time, surgeon had a back up graft.

Massive bone graft packaging ruptured; discovered at hospital.

166
  • Read more about Massive bone graft packaging ruptured; discovered at hospital.

Tank containing bone - liquid nitrogen ran out - all tissues thawed and discarded.

165
  • Read more about Tank containing bone - liquid nitrogen ran out - all tissues thawed and discarded.

No surgeon available for bone procurement, loss of tissue

163
  • Read more about No surgeon available for bone procurement, loss of tissue

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Disclaimer

The cases, bibliography and associated comments included in this website and database have been provided by experts worldwide and reviewed by voluntary editorial working groups. The data and information is not guaranteed to be complete or to be fully up to date at any particular moment and it reflects the knowledge and views of the experts participating, not those of the World Health Organisation or the Italian National Transplant Centre.