SHOT Publications – Posters
NHSBT Nursing Conference 2022, Birmingham, 28 Sept 2022
Serious Hazards of Transfusion - an overview
BBTS Annual Scientific Meeting 2022, Glasgow, 13-15 Sept 2022
2020 Key Recommendations Survey
Errors and reactions associated with Electronic Issue (EI) of red cells
Patient identification errors resulting in a wrong component transfusion
Why has my SHOT report been withdrawn?
IBMS Congress 2022, Birmingham, 14-17 March 2022
Alert fatigue : System overload
Are we asking the right questions when things go wrong?
BBTS Annual Scientific Meeting 2019, Harrogate, 18-20 Sept 2019
2017 SHOT Key Recommendations Survey
Not Choosing Wisely: Avoidable transfusions for haematinic deficiencies reported to SHOT
Anti-D Immunoglobulin (Ig) errors - A two decade review
Procedure based errors - biggest cause of serious adverse events (SAE)
Avoidable use of a precious resource: do not use group O D-negative units when there are alternatives
Avoidable transfusions reported to SHOT 2015 - 2017: Evidence for poor decisions
Up-to-date competency assessments do not prevent transfusion with wrong components (WCT) following laboratory-related errors
ESW (European STAMP Workshop) 2017, Reykjavik, Iceland
Can we learn about human and organisational Factors from past blood transfusion errors?
BBTS Annual Scientific Meeting 2017
Avoidable transfusions reported to SHOT 2015-2016
SERIOUS HAZARDS OF TRANSFUSION (SHOT): 20 years of reporting shows human error is the most common cause of adverse incidents: be like a pilot: use a bedside checklist
The final bedside check prior to transfusion: is a one- or two-person check safer?
Cell Salvage Incident Reporting - UK Experience
Risks and benefits from the use of electronic issue
Errors in Transfusion of Transplant Recipients Guidelines are Required
Preventing wrong component transfusion – importance of the final administration check
BBTS Annual Scientific Meeting 2016
ABO-incompatible transfusions - nearly 300 prevented by staff vigilance
Delayed haemolytic transfusion reactions (DHTR) and simple alloimmunisation are associated with different antibody specificities
Errors In and Complications of Paediatric Transfusion: SHOT Reports 2015
Risk and impact of haemolytic transfusion reaction (HTR) due to passive ABO antibodies as evidenced by SHOT data
The changing pattern of pulmonary complications reported to SHOT
The role of the Serious Hazards of Transfusion Reporting Scheme in identifying changes in transfusion reaction patterns associated with new components
Time to refine transfusion-associated circulatory overload (TACO)
18 Years of Reporting Shows Human Error is the most common cause of adverse incidents
Noticing Errors in Blood Transfusion Prevents Harm to Patients
BSH 2015, EICC, Edinburgh, 20 – 22 April 2015
2015 BSH Poster – Haematology sampling
ISBT/BBTS Congress 2015, The ExCeL, London 29 June – 01 July 2015
Seventeen years’ analysis of adverse events associated with anti-D immunoglobulin
anti-D immunisation in pregnancy – an ongoing study from the SHOT UK HV Scheme
An Analysis of Lab Errors – what goes wrong and when do errors occur
Dangerous Clinical Practice Caught By Near Miss Analysis
Errors in Transfusion of Transplant Recipients_Time to Produce Guidelines
Are the ‘rules’ for times in setup and duration of red cell transfusion too strict?
An analysis of cases of TACO using different definitions_UK HV Scheme data 2014
BBTS 2014 Annual Scientific Meeting, Harrogate, 24 – 26 September 2014
2014 BBTS Poster - Haemovigilance Reporting in the UK 2013 - collaboration to reduce confusion
2014 BBTS Poster - No improvement in rate of errors in pre-transfusion testing comparison between 2 - year periods a decade apart
2014 BBTS Poster - Anti-D Prophylaxis - a continuing and evolving problem
Scotblood 2014 Annual Conference, Stirling University, 12 – 13 June 2014
2014 SCOTBLOOD Poster - Encouraging Labs to improve practice (UK initiative)
British Society for Haematology – April 2014 (published BJH)
BBTS 2013 Annual Scientific Meeting, Birmingham, 16 – 18 October 2013
2013 BBTS Poster - Incorrect transfusions in transplant patients as a result of poor communication
SHOT delayed transfusion poster IHS Brussels 2013
Lab-related errors poster
BBTS Annual Scientific Meeting 2012
Wrong Blood In Tube The Tip of the Iceberg
BBTS Annual Scientific Meeting 2011
A retrospective audit of fluid balance recording in TACO reports analysed by SHOT
SHOT Participation Data Poster for BBTS ASM 2011
