December 1, 2008
Taking steps to protect patients from specimen-handling errors
An OR specimen was transported to the laboratory. The lab called to say there was no specimen in the container. The specimen was a completely excised ovarian mass. A patient had two specimens excised from her breast. The specimens were sent to radiology for x-ray. The lab reported that only one specimen was received. Unable to locate the other specimen. These incidents, reported by the Pennsylvania Patient Safety Authority are…
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