Graft failure

Record number: 
1138
Adverse Occurrence type: 
MPHO Type: 
Alerting signals, symptoms, evidence of occurrence: 
Harvest centre performed only 1 day collection despite achieving only 1/4 of the requested cell dose. TC and hub not informed. Donor required a bone marrow harvest later.
Demonstration of imputability or root cause: 
Harvest centre performed only 1 day collection despite achieving only 1/4 of the requested cell dose. TC and hub not informed. Donor required a BM harvest later. Patient did not engraft.
Suggest references: 
World Marrow Donor Association.S(P)EAR Committee Annual Report - year 2011