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  • Notify Booklet
    • 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
  • Background Documents
Home / allogeneic

allogeneic

Collection discontinued from matched apheresis stem cell donor due to diagnosis of leukemia in the donor

179
  • Read more about Collection discontinued from matched apheresis stem cell donor due to diagnosis of leukemia in the donor

Bacterial contamination during collection, processing, cryopreservation, or thawing

177
  • Read more about Bacterial contamination during collection, processing, cryopreservation, or thawing

Meniscus fracture

174
  • Read more about Meniscus fracture

Anatomic abnormality of meniscus graft, discarded at hospital

173
  • Read more about Anatomic abnormality of meniscus graft, discarded at hospital

Error in packaging, 2 menisci in one package, one was discarded

172
  • Read more about Error in packaging, 2 menisci in one package, one was discarded

Tissue procured from wrong body

171
  • Read more about Tissue procured from wrong body

Tissue procured from wrong body

170
  • Read more about Tissue procured from wrong body

Tissue procured from wrong body

169
  • Read more about Tissue procured from wrong body

Tissue procured from wrong body

168
  • 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.

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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.