Human Tissue Authority

The regulator for human tissue and organs

Post Mortem – HTA Reportable Incident closed in Q2 2020/21 details

Licence Number
Organisation
Case Number
Incident Classification
Brief summary of HTARI

12086

Pinderfields Hospital

 

CAS-55618-T5Q9

Accidental damage to a body

Human error led to damage to a body.

30008

Gloucester Royal Hospital

 

CAS-56056-M4K6

Accidental damage to a body

Minor damage to a body in storage.

12314

Pathlinks (Lincoln)

 

CAS-54945-P2N0

Release of the wrong body

Procedural error led to release of the wrong body.

30014

Frimley Park Hospital

 

CAS-55707-L7X5

Release of the wrong body

Human error led to release of the wrong body.

12163

University Hospital of Wales

CAS-53189-V4V2

Any incident not listed here that could result in adverse publicity that may lead to damage in public confidence

Complaint received about mortuary processes and services.

12441

Broomfield Hospital

CAS-54966-M1B7

Release of the wrong body

Human error led to short term release of the wrong body.

12441

Broomfield Hospital

 

CAS-54769-R8Y6

Loss of an organ or tissue

Human error led to loss of tissue.

12266

University Hospital Lewisham

 

CAS-53215-F1R4

Accidental damage to a body

Procedural error led to minor damage to a body.

12089

James Cook University Hospital

CAS-53973-D6L6

Post-mortem examination conducted was not in line with the consent given or the PM examination proceeded with inadequate consent

Communication error led to a post-mortem examination being commenced that was not in line with the consent given.

11104

Colchester General Hospital

CAS-56183-Q9V3

Serious security breach

An unauthorised individual gained access to the mortuary premises.

12108

Calderdale Royal Hospital

CAS-55553-K1Z6

Accidental damage to a body

Communication error led to deterioration in the condition of a body.

12243

St Thomas' Hospital

CAS-55296-C2F6

Post-mortem examination conducted was not in line with the consent given or the PM examination proceeded with inadequate consent

Communication error led to a post-mortem examination being commenced that was not in line with the consent given.

12034

Derriford Hospital

 

CAS-56064-H7L0

Loss of an organ or tissue

Human error led to loss of tissue.

30032

Peterborough City Hospital

 

CAS-54389-L8N0

Loss of an organ or tissue

Procedural error led to loss of tissue traceability.

12377

King's College Hospital

 

CAS-55414-W8W1

Loss of an organ or tissue

Human error led to loss of organs.

12318

Addenbrooke's Hospital

 

CAS-54373-W7Y7

Loss of an organ or tissue

Human error led to loss of traceability of organs.

30032

Peterborough City Hospital

 

CAS-55595-N8M5

Accidental damage to a body

Procedural error led to damage to a body.

12541

Salford Royal NHS Foundation Trust

 

CAS-54507-D8R7

Release of the wrong body

Human error led to short term release of the wrong body.

12187

The Royal London

Hospital

 

CAS-55492-D2R7

Release of the wrong body

Procedural error led to release of the wrong bodies.

12051

Basildon University Hospital

 

CAS-55244-S9P9

Accidental damage to a body

Human error led to damage to a body.

12318

Addenbrooke's Hospital

CAS-56521-D0K1

Accidental damage to a body

Human error led to damage to a body during post-mortem examination.

12427

Northern General Hospital

 

CAS-48179-M5G5

Loss of an organ or tissue

Human error led to loss of tissue traceability.

12253

Northampton General Hospital

 

CAS-56069-J9Y2

Accidental damage to a body

Human error led to minor damage to a body.

12616

Tunbridge Wells Hospital at Pembury

CAS-55675-V2G3

Loss, disposal or retention of a whole fetus or fetal tissue (gestational age less than 24 weeks) against the express wishes of the family

Procedural error led to loss of traceability of a foetus.

Last updated on: 13 Oct 2020