Record number:
426
Adverse Occurrence type:
MPHO Type:
Alerting signals, symptoms, evidence of occurrence:
Found during lookback, some recipients could not be identified due to lack of hospital records. One due to surgeion refusal to inform patient due to lack of providing an informed consent.
Lookback testing with new more sensitive test identified several donors who were non reactive by 1st generation test and reactive in 2nd generation
Demonstration of imputability or root cause:
proven by DNA sequencing
Imputability grade:
3 Definite/Certain/Proven
Suggest references:
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