Record number:
1130
Adverse Occurrence type:
MPHO Type:
Alerting signals, symptoms, evidence of occurrence:
Thawed unit discovered on arrival at the Transplant Center
Demonstration of imputability or root cause:
Thawed unit on arrival - sent back to CBB. No other unit available and a donor search was reinitiated. The event was thought to be due to bad handling of the dry-shipper in transit. The dry shipper was in good condition
References:
Suggest references:
S(P)EAR Annual Report, 2011, World Marrow Donor Association;
S(P)EAR Annual Report, 2012, World Marrow Donor Association