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Unintended transplantation of three organs from an HIV-positive donor: report of the analysis of an adverse event in a regional health care service in Italy.

Bellandi T, Albolino S, Tartaglia R, et al. Unintended transplantation of three organs from an HIV-positive donor: report of the analysis of an adverse event in a regional health care service in Italy. Transplant Proc. 2010;42(6):2187-9. doi:10.1016/j.transproceed.2010.05.034.

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September 8, 2010
Bellandi T, Albolino S, Tartaglia R, et al. Transplant Proc. 2010;42(6):2187-9.

This case study discusses errors that contributed to transplantation of infected organs and provides recommendations to improve test result communication and organizational safety culture.

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Bellandi T, Albolino S, Tartaglia R, et al. Unintended transplantation of three organs from an HIV-positive donor: report of the analysis of an adverse event in a regional health care service in Italy. Transplant Proc. 2010;42(6):2187-9. doi:10.1016/j.transproceed.2010.05.034.