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Publication Type: Patient Safety Alert
Single or Multiple Incident: Multiple
Date: 9/27/2020 12:00:00 AM
Country: South Korea

This alert describes three cases of mismanagement of tissue and cell pathology samples (switched samples, lost samples, errors in barcodes) that led to suboptimal and potentially harmful care management. The alert includes recommendations to prevent recurrence, precautions to take before/during/after sample collection, and precautions for receiving and labelling samples.

Errors in management of tissue and cell pathology samples