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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
  • Background Documents
Home / allogeneic

allogeneic

Irradiated tissue discarded due to discoloration and odor

112
  • Read more about Irradiated tissue discarded due to discoloration and odor

Loss of shipped tissue which when located had thawed and thus unusable

111
  • Read more about Loss of shipped tissue which when located had thawed and thus unusable

Tendon graft mislabeled with improper expiration date and graft discarded at hospital

110
  • Read more about Tendon graft mislabeled with improper expiration date and graft discarded at hospital

Tendon returned from hospital with no refrigeration, discarded

109
  • Read more about Tendon returned from hospital with no refrigeration, discarded

Graft arrived at hospital thawed

108
  • Read more about Graft arrived at hospital thawed

Vascular conduit cracks, requring repair in operating theatre

107
  • Read more about Vascular conduit cracks, requring repair in operating theatre

Fractured graft in package, patient under anesthesia

106
  • Read more about Fractured graft in package, patient under anesthesia

Rabies

20
  • Read more about Rabies

Aspergillus spp

2
  • Read more about Aspergillus spp

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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.