Human Tissue Authority

The regulator for human tissue and organs

Post Mortem HTA Reportable Incidents closed in Q3 2020/21 – details

Licence Number

Organisation

Case Number

Incident Classification

Brief summary of HTARI

12420

Walthamstow Public Mortuary

CAS-53516-Q4S5

Major equipment failure

Procedural error led to a complaint from the family.

12096

Kettering General

Hospital NHS Foundation Trust

CAS-55892-C8Y8

Removal of tissue from a body

without authorisation or consent

Procedural error led to removal of tissue from a body without appropriate consent.

12262

Royal Brompton Hospital

CAS-55204-S5F1

Release of the wrong body

Human error led to release of the wrong body.

12309

Royal Blackburn Hospital

CAS-55978-V7C0

Release of the wrong body

Human error led to release of the wrong body.

12461

University Hospital of

North Durham

CAS-56468-B3Y5

Accidental damage to a body

Human error led to damage to a body.

12554

Manchester University NHS

Foundation Trust -

Central Hospitals

CAS-57024-C3R0

Accidental damage to a body

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

30031

Victoria Hospital

CAS-56955-J0T1

Accidental damage to a body

Human error led to minor damage to a body.

30001

Great Ormond Street Hospital

for Children NHS

Foundation Trust

CAS-53693-C0S6

Loss of an organ or tissue

Human error led to loss of tissue traceability.

12377

King's College Hospital

CAS-55147-V4H1

Discovery of an organ or tissue

following post-mortem examination

and release of body

Procedural error led to discovery of additional organ and tissue following release of a body.

12153

Glan Clwyd Hospital

CAS-57033-Q7V9

Discovery of an organ or tissue

following post-mortem examination

and release of body

Procedural errors led to discovery of additional tissue following release of a body.

12300

Princess Royal University Hospital

CAS-55400-H9W6

Release of the wrong body

Human error led to release of the wrong bodies.

11068

Southend Hospital

CAS-56765-L7B4

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 fetus'.

12184

Royal Shrewsbury Hospital

CAS-56252-X4M4

Release of the wrong body

Human error led to release of the wrong body.

12342

The Royal Oldham Hospital

CAS-56812-P0S6

Accidental damage to a body

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

30031

Victoria Hospital

CAS-56269-S0J9

Accidental damage to a body

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

12023

Kingston Hospital

CAS-56095-M6F4

Any incident not listed here that

could result in adverse publicity

that may lead to damage in

public confidence

Complaint received about loss of valuables.

12142

Royal Sussex County Hospital

CAS-56101-D1N0

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 disposal of a fetus by a method not in accordance with the family's wishes.

12142

Royal Sussex County Hospital

CAS-57469-P0D2

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 disposal of a fetus by a method not in accordance with the family's wishes.

12387

St George's Hospital

CAS-54652-P6J6

Accidental damage to a body

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

12427

Northern General Hospital

CAS-55740-T8F8

Loss of an organ or tissue

Human error led to loss of tissue.

12387

St George's Hospital

CAS-53666-T9N9

Loss of an organ or tissue

Procedural error led to loss of tissue traceability.

12542

St Peter's Hospital

CAS-50825-X7P9

Serious security breach

An unauthorised individual gained access to the mortuary premises.

12170

Hull Royal Infirmary

CAS-56676-H6Z8

Accidental damage to a body

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

12489

Fulham Public Mortuary

CAS-57111-H6Q1

Release of the wrong body

Procedural error led to release of the wrong body.

 

 

Last updated on: 14 Jan 2021