Cord blod, air present in bag

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