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/
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 within 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.
This short video discusses the key trends and lessons learned from ABO incompatible transfusion events reported to the SHOT haemovigilance scheme from 2010-2019.
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.
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.
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.
The Patient Blood Management team and SHOT have produced a ‘Pre-transfusion Sampling Process’ animated video to further support safe practice in hospitals.
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.