Annual SHOT Report
The SHOT Annual Report 2018 contains bookmarks for each chapter, and links to individual chapters on the Contents pages. These enable you to easily navigate to the chapter you require.
The electronic pdf below contains the web only MHRA chapter. This does not appear in the printed version.
Annual SHOT Report 2018 (15MB pdf)
Please cite this document as:
S Narayan (Ed) D Poles et al. on behalf of the Serious Hazards of Transfusion (SHOT) Steering Group. The 2018 Annual
SHOT Report (2019). https://www.shotuk.org/reports/annual-report-2018/
Annual SHOT Report Foldable Summaries
The foldable summaries are now available to order on the following website online
NHS Leaflets
Annual SHOT Report Individual Chapters
The Annual SHOT Report 2018 is available as individual chapters by clicking below:
Chapter 1 Foreward 2018 (725kB pdf)
Chapter 2 Participation in United Kingdom (UK) Haemovigilance (1MB pdf)
Chapter 3 Headline Data – Deaths Major Morbidity and ABO-Incompatible Transfusions (2MB pdf)
Chapter 3 Headline Data – Deaths, Major Morbidity and ABO-Incompatible Transfusions (1MB pdf)
Chapter 4 Key Messages and Recommendations (1MB pdf)
Chapter 5 Donor Haemovigilance (2MB pdf)
ERROR REPORTS
Chapter 6 Human Factors in SHOT Error Incidents (903kB pdf)
Chapter 7 Adverse Events Related to Anti-D Immunoglobulin (Ig) (1MB pdf)
Chapter 8 Incorrect Blood Component Transfused (IBCT) (3MB pdf)
Chapter 9 Handling and Storage Errors (HSE) (935kB pdf)
10a Delayed Transfusions (1MB pdf)
10b. Avoidable Transfusions (1MB pdf)
10c. Under or Overtransfusion (732kB pdf)
10d. Incidents Related to Prothrombin Complex Concentrate (PCC) (777kB pdf)
ERROR REPORTS WITH NO HARM
Chapter 11 Immune Anti-D in Pregnancy (818kB pdf)
Chapter 12 Near Miss Reporting (NM) (1MB pdf)
Chapter 13 Right Blood Right Patient (RBRP) (852kB pdf)
ERROR REPORTS COMPOSITE CHAPTERS
Chapter 14 Laboratory Errors (1MB pdf)
Chapter 15 Errors Related to Information Technology (IT) (900kB pdf)
REACTIONS IN PATIENTS
Chapter 16 Febrile, Allergic and Hypotensive Reactions (FAHR) (1MB pdf)
Chapter 17 Pulmonary Complications ofTransfusion (2MB pdf)
17a. Transfusion-Related Acute Lung Injury (TRALI) (778kB pdf)
17b. Transfusion-Associated Circulatory Overload (TACO) (2MB pdf)
17c. Transfusion-Associated Dyspnoea (TAD) (745kB pdf)
Chapter 18 Haemolytic Transfusion Reactions (HTR) (1MB pdf)
Chapter 19 New or Unclassifiable Complications of Transfusion (UCT) (745kB pdf)
Chapter 20 Transfusion-Transmitted Infections (TTI) (835kB pdf)
Chapter 21 Post-Transfusion Purpura (PTP) (964kB pdf)
Chapter 22 Cell Salvage (CS) (1MB pdf)
SPECIAL CLINICAL GROUPS
Chapter 23 Paediatric Cases (2MB pdf)
Chapter 24 Haemoglobin Disorders – Update (1MB pdf)
Chapter 25 Medicines and Healthcare products Regulatory Agency Report (2MB pdf)
Supplementary Information
Chapter 2 – Participation in UK Haemovigilance 2018
Chapter 3 – Headline Data Supplementary Information 2018
Chapter 7 – Adverse Events Related to Anti-D Immunoglobulin (Ig)
Chapter 8 – Incorrect Blood Component Transfused (IBCT)
Chapter 9 – Handling and Storage Errors (HSE)
Chapter 10 – Avoidable Delayed and Under or Overtransfusion (ADU)
Chapter 11 – Anti-D Immunisation
Chapter 13 – Right Blood Right Patient (RBRP)
Chapter 15 – Errors Related to Information Technology (IT)
Chapter 17c – Transfusion-Associated Dyspnoea (TAD)
Chapter 20 – Transfusion-Transmitted Infections (TTI)
2018 SHOT Recommendations Gap Analysis Tool
For the 2018 Annual SHOT Report, the SHOT Team have created a Gap Analysis Tool. This is designed to help SHOT reporting organisations to easily audit their position on SHOT Recommendations – identifying the extent to which they are already compliant, whether there are any existing gaps, and the best ways to bridge those gaps.
The template has been pre-formatted with the SHOT Recommendations. The Gap Analysis Tool includes an Action Plan, allowing organisations to record, in narrative form, comparison of current services against SHOT Recommendations, and to plan and monitor continuous improvement in patient safety.