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SHOT Videos

We are very pleased to share informative videos covering key areas relevant to transfusion safety and haemovigilance in UK. We are very grateful for the funding received from Health Education England to support this development. We hope that you find these useful and share them widely. Please contact us at SHOT@nhsbt.nhs.uk with any further suggestions or queries. All Annual SHOT Reports can be accessed at https://www.shotuk.org/shot-reports/


Highlights from the 2021 Annual SHOT Report

This 1hr 13min video is a recording of the presentation made by Dr Shruthi Narayan, Medical Director of SHOT, at the IHN-SHOT Symposium 2022.

Alternative video format: Highlights from the 2021 Annual SHOT Report (Vimeo)


FAHR – Febrile, Allergic and Hypotensive Reactions

This video on Febrile and Allergic reactions gives an overview of how to recognise, assess and manage acute reactions, and how to look after patients if they need further transfusion. It also covers which reactions should be reported, both locally and nationally.

Additional resources:

FAHR chapter, 2020 Annual SHOT Report

FAHR cases, 2020 Annual SHOT Report (slides 83-86)

FAHR cumulative data 1996-2020

FAHR Webinar 2020 (scroll down the webinars page to find webinar)

FAHR SHOTcast (audio 12m 25s)

SHOT Bite No.5 – FAHR – Getting the diagnosis right

This video has an accompanying script to assist those with hearing difficulties.

Alternative video format: FAHR (Vimeo)


TACO – Transfusion-Associated Circulatory Overload

This video explores Transfusion Associated Circulatory Overload (or TACO). It will cover what TACO is, how to recognise it, how to reduce the risk of it occurring and how to evaluate practice following a case. TACO is a potentially preventable complication of transfusion. Whether making the decision to transfuse, authorising transfusion, issuing blood from the laboratory, or administering blood – everyone involved in the process has a responsibility and opportunity to reduce the risk of TACO.

Additional resources: TACO Checklist, TACO Incident Investigation Tool.

This video has an accompanying script to assist those with hearing difficulties.

Alternative video format: TACO (Vimeo)


Anti-D Immunoglobulin errors and immunisation in pregnancy: Insights from SHOT

Errors in practice related to anti-D Ig have the potential to cause harm to the mother or child immediately or in the future. SHOT have created two Anti-D Ig videos to to improve knowledge and help reduce these errors.

Part 1 – Exploring the impact of sensitisation to the D antigen for pregnant indivduals and explaining why correct and timely administration of anti-D immunoglobulin is important.

Part 2 – Learning from anti-D Ig administration errors and cases of immune anti-D reported to SHOT.

The videos should be viewed together, as Part 2 builds on the learning provided in Part 1.

For additional anti-D resources please see: Learn Blood Transfusion, Anti-D Aide Memoire, SHOT Bite No.2 Anti-D AdministrationAnti-D email signature.

This video has an accompanying script to assist those with hearing difficulties.

Alternative video format:

Part 1 – Anti-D Immunoglobulin errors and immunisation in pregnancy: Insights from SHOT (Vimeo)

 

Alternative video format:

Part 2 – Anti-D Immunoglobulin errors and immunisation in pregnancy: Insights from SHOT (Vimeo)


Haemolytic Transfusion Reactions in patients with Haemoglobinopathies

This video covers the key trends in transfusion errors leading to haemolytic transfusion reactions in patients with haemoglobinopathies and suggests strategies for reducing these errors. The SHOT team would like to thank the UK Forum for funding the development of this video.

This video has an accompanying script to assist those with hearing difficulties, and includes additional resources.

Alternative video format:

Haemolytic Transfusion Reactions in patients with Haemoglobinopathies (Vimeo)

 


Delayed Transfusions in Major Haemorrhage

This video provides an overview of the transfusion delays in major haemorrhage situations that have been reported to SHOT and highlights common themes with key steps that need to be taken to prevent delays and promote patient safety. The SHOT team would like to thank the UK Forum for funding the development of this video.

This video has an accompanying script to assist those with hearing difficulties, and includes additional resources.

Alternative video format:

Delayed Transfusions in Major Haemorrhage (Vimeo)


Transfusion errors in haemopoietic stem cell transplant recipients

This video provides an overview of the transfusion errors commonly reported to SHOT relating to patients who have undergone haemopoietic stem cell transplantation and addresses key steps that need to be taken to ensure transfusion safety in these patients. The SHOT team would like to thank the UK Forum for funding the development of this video.

This video has an accompanying script to assist those with hearing difficulties, and includes additional resources.

Alternative video format:

Transfusion errors in haemopoietic stem cell transplant recipients (Vimeo)


Understanding Human Factors in Transfusion Parts 1 & 2

Applying Human Factors (HF) principles to incident investigation is key to developing a positive safety culture. Examining systems that require improvement or change should prevent recurrence of errors.

These 2 videos provide an overview of HF and it’s relevance to transfusion, alongside helpful tips and resources designed to embed application of HF in everyday practice.

The videos should be viewed together, as Part 2 builds on the learning provided in Part 1.

For additional HF resources please see: HFIT Tuition Package, HF Webinar, HF SHOTcast, HFIT questionnaire with tooltips.

Alternative video format:

Understanding Human Factors in Transfusion Pt 1 (Vimeo)

 

Alternative video format:

Understanding Human Factors in Transfusion Pt 2 (Vimeo)


ABO incompatible transfusion events: Insights learned from SHOT Reports 2010-2019

This short video discusses the key trends and lessons learned from ABO incompatible transfusion events reported to the SHOT haemovigilance scheme from 2010-2019.

Alternative video format:

ABO incompatible transfusions events (Vimeo)


Paediatric SHOT

Paediatric haemovigilance reports differ in many respects from those in adults.  This video sets out the special features and key messages from the last 10 years of paediatric SHOT reporting and has been put together by the SHOT paediatric experts.  It aims to inform and engage all those involved with transfusion to neonates and older children.

Alternative video format:
Paediatric SHOT – Vimeo

Transfusion Laboratory Errors

Safe transfusion practices require both clinical and laboratory teams to work collaboratively and in a coordinated manner. This video has been drafted by the working expert group dealing with laboratory errors and focuses on key messages from laboratory errors reported to SHOT with important learning points and recommendations.

Alternative video format:
Transfusion Laboratory Errors – Vimeo

Pulmonary Complications of Transfusion

Pulmonary complications (TRALI, TACO and TAD) post transfusion continue to contribute significantly to death and major morbidity after transfusion. At least some of these are potentially preventable and early recognition with prompt treatment is vital. This video provides an overview of the pulmonary complications as reported to SHOT and covers key learning points.

Alternative video format:
Pulmonary Complications of Transfusion – Vimeo

Pre-Transfusion Sampling Process (Updated Oct 2020)

The Patient Blood Management team and SHOT have produced a ‘Pre-transfusion Sampling Process’ animated video to further support safe practice in hospitals.

Alternative video format (Vimeo):

Pre-Transfusion Sampling Process (Updated Oct 2020)


The Pre-administration Blood Component Transfusion Bedside Check 2020

This video outlines critical key steps for completing pre-administration bedside checks of blood components.

The video can be played in full or paused at particular points to support training and knowledge of this final step.  The video supports the British Society of Haematology (BSH, 2017) guideline for the administration of blood components, the National Blood Transfusion Committee (NBTC, 2016) National Standards for the Clinical Transfusion Process and the Central Alerting System (CAS) Alert Safe Transfusion Practice – use a bedside checklist, (Department for Health, 2017).

The video was produced through collaboration between the UK haemovigilance scheme, Serious Hazards of Transfusion (SHOT) and the NHS Blood and Transplant (NHSBT) Patient Blood Management (PBM) Team with funding from Health Education England.

Alternative video format (Vimeo):

The Pre-administration Blood Component Transfusion Bedside Check 2020