HTA publishes quarterly closed incidents data

In quarter 3 2022/23 we closed 107 incidents as reported to the HTA.  Licensed establishments need to report that an incident has taken place and provide a follow-up investigation report within two months for review. 

When an incident occurs, we aim to support establishments in their review of the incident and the actions taken to help mitigate the risk of a similar incident occurring in future.  

HTA licensed establishments in the Post Mortem, Human Application and Organ Donation and Transplantation sector are required to report incidents to the HTA as part of their licensing requirements.  In the post-mortem sector we call these HTARIs, and those in the Human Application and Organ Donation and Transplantation sectors are called Serious Adverse Events or Reactions (SAEARs). 

The latest data can be found here: https://www.hta.gov.uk/about-hta/transparency/disclosing-information-incidents

 

Organ Donation and Transplantation reporting 

The system of reporting and investigating SAEARs is managed by NHSBT on our behalf. You can find out more here: Serious Adverse Event or Reaction (SAEARs) | Human Tissue Authority (hta.gov.uk) 

 

Human Application Reporting 

Establishments are required to notify us of serious adverse events (SAEs) or serious adverse reactions (SARs) within 24 hours of discovery.  You can find out more about the process here: Human application serious adverse event and reaction (SAEARs) reporting | Human Tissue Authority (hta.gov.uk) 

 

Post-Mortem sector reporting 

Notifications must be submitted to us within five working days of the incident occurring or being discovered. Establishments must not delay reporting to the HTA, they should not wait for any internal review or investigation.  You can find out more about how HTARIs are managed here: Post Mortem HTA Reportable Incidents (HTARIs) | Human Tissue Authority 

 

Accidental damage to a body HTARIs in the Post Mortem sector

Damage to a body that has the potential to cause distress to the family or may lead to damage in public confidence must be reported to HTA. This includes damage to a body during post-mortem examination, for example during evisceration or reconstruction of a body. Near miss incidents should also be reported to HTA. Please see further information: https://www.hta.gov.uk/guidance-professionals/guidance-sector/post-mortem/reporting-accidental-damage-body