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Tuesday, July 19, 2011
Transplant Error Finds More at Fault
The results of a positive hepatitis C test sat in a living donor's medical record at UPMC for more than two months before her kidney was transplanted into a man who did not have the virus, according to the findings of a federal investigation into the case.
But despite at least six chances to review the test result and possibly stop the transplant because of the potentially lethal hepatitis C infecting the donor, none of the doctors or nurses involved in the case did so, according to the Centers for Medicare and Medicaid Services (CMS) investigation.