Clinical	Administrative	Laboratory
OHSS	Most incidents relating to a breach of patient confidentiality involved information being posted to an incorrect address	Equipment-related
Patients are starting a treatment cycle before all their screening results were returned and reviewed		Power failures
		Equipment being moved or disconnected during the general laboratory cleaning
	Examples
	Clinical consultation reviews
Screening results not being checked or being misinterpreted	Letters to referring physicians	Pipes/tubes supplying essential gases to incubators to maintain the quality of embryos becoming distorted, leading to the quality of embryos being comprised
	Consent forms
Donors being accepted and matched with a recipient without the screening results being available or checked, or screening results being misinterpreted.	Invoices for treatment and or storage fees blood results	Faulty transport incubators
	Scan findings and complete sets of medical records	Process related
		Failure to carry out specific witnessing steps. Where cryopreserved material is moved from one location to another without the movement being witnessed, or without the logs documenting the storage location being updated.
Misplacement of an embryo during embryo transfer, ovarian abscesses following egg collection, vaginal bleeding and urinary tract infections as well as allergic reactions to medications.		Failure to follow protocols for freezing.
		Operator related
		Dishes containing eggs or embryos that were knocked or dropped.
Infections found in embryo cultures that originated from the patient or their partner.		Pipettes that were accidently knocked whilst moving eggs or embryos (causing damage or loss of samples).
		Failure to operate equipment properly.
		Turning off a piece of equipment mid-cycle.

OHSS=Ovarian hyperstimulation syndrome