title: RCA of transplant case reveals lack of redundancy.
mesh_terms: D000293:Adolescent; D001788:Blood Grouping and Crossmatching; D005260:Female; D006801:Humans; D019300:Medical Errors / Q000517:prevention & control*; D009657:North Carolina; D016377:Organ Transplantation / Q000009:adverse effects*; D018571:Sentinel Surveillance; D013597:Systems Analysis; D009927:Tissue and Organ Procurement / Q000592:standards