Why is this document needed?
There is a continuing trend in preventable transfusion errors reported to SHOT leading to patient harm including deaths. Common contributory factors identified include issues with staffing, training, safety culture and automation/IT.
What does it contain?
A driver diagram is a simple, visual tool used to conceptualise issues and determine the system components which will then create a pathway to get to the goal. This tool helps support staff to systematically plan and structure improvement projects.
How do I use it?
Drivers are the factors/areas that you need to change to see improvement. Change ideas are the tactical changes to processes and things that staff could do differently which will impact on the drivers recognised.
Use the driver diagram to identify potential tactical change ideas to enhance transfusion safety in your organisation. There is both a vertical and horizontal version for use.