|
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. |