Record number:
1143
Adverse Occurrence type:
MPHO Type:
Alerting signals, symptoms, evidence of occurrence:
Air present in cord unit bag and unit was discoloured. As a result the cord unit was not given to the patient and an alternative was sought.
Demonstration of imputability or root cause:
Discovered upon thawing
Suggest references:
World Marrow Donor Association.S(P)EAR Committee Annual Report - year 2012