Annual SHOT Report
The Annual SHOT Report 2019 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.
Please cite this document as:
S Narayan (Ed) D Poles et al. on behalf of the Serious Hazards of Transfusion (SHOT) Steering Group. The 2019 Annual SHOT Report (2020). https://www.shotuk.org/shot-reports/annual-shot-report-2019/
Annual SHOT Report Foldable Summaries
Annual SHOT Report 2019 Summary
Annual SHOT Report Individual Chapters
The Annual SHOT Report 2019 is available as individual chapters by clicking below:
Chapter 2 – Participation in United Kingdom (UK) Haemovigilance
Chapter 3 – Headline Data: Deaths, Major Morbidity and ABO-Incompatible Transfusions
Chapter 4 – Key Messages and Recommendations
Chapter 5 – Acknowledging Continuing Excellence (ACE) in Transfusion
Chapter 6 – Donor Haemovigilance
ERROR REPORTS
Chapter 7 – Human Factors in SHOT Error Incidents
Chapter 8 – Adverse Events Related to Anti-D Immunoglobulin (Ig)
Chapter 9 – Incorrect Blood Component Transfused (IBCT)
Chapter 10 – Handling and Storage Errors (HSE)
Chapter 11a – Delayed Transfusions
Chapter 11b – Avoidable Transfusions
Chapter 11c – Under or Overtransfusion
Chapter 11d – Incidents Related to Prothrombin Complex Concentrates
ERROR REPORTS WITH NO HARM
Chapter 12 – Near Miss (NM) Reporting
Chapter 12a – Near Miss – Wrong Blood in Tube (WBIT)
Chapter 13 – Right Blood Right Patient (RBRP)
ERROR REPORTS COMPOSITE CHAPTERS
Chapter 14 – Laboratory Errors
Chapter 15 – Errors Related to Information Technology (IT)
REACTIONS IN PATIENTS
Chapter 16 – Febrile, Allergic and Hypotensive Reactions (FAHR
Chapter – 17 Pulmonary Complications
Chapter 17a – Transfusion-Related Acute Lung Injury (TRALI)
Chapter 17b – Transfusion-Associated Circulatory Overload (TACO)
Chapter 17c – Transfusion-Associated Dyspnoea (TAD)
Chapter 18 – Haemolytic Transfusion Reactions (HTR)
Chapter 19 – Uncommon Complications of Transfusion (UCT)
Chapter 20 – Transfusion-Transmitted Infections (TTI)
SPECIAL CLINICAL GROUPS
Chapter 21 – Cell Salvage (CS)
Chapter 23 – Haemoglobin Disorders
Chapter 24 – Immune Anti-D in Pregnancy
Chapter 25 – Summary of Haemopoietic Stem Cell Transplant Errors 2012-2019
WEBSITE ONLY
26 Medicines and Healthcare products Regulatory Agency (MHRA) Report
Resources from the 2019 Annual SHOT Report
Use of SHOT resources:
The downloadable documents are the property of SHOT and have SHOT copyright. They must therefore NOT BE MODIFIED without permission.
Cases from the 2019 Annual SHOT Report
Figures from the 2019 Annual SHOT Report
Supplementary Information
Chapter 2 – Participation in UK Haemovigilance 2019
Chapter 3 – Headline Data Supplementary Information 2019
Chapter 8 – Adverse Events Related to Anti-D Immunoglobulin (Ig) 2019
Chapter 9 – Incorrect Blood Component Transfused (IBCT) 2019 v2
Chapter 10 – Handling and Storage Errors (HSE) 2019
Chapter 11 – Avoidable Delayed or Under-overtransfusion (ADU) 2019
Chapter 13 – Right Blood Right Patient (RBRP) 2019
Chapter 14 – Laboratory Errors 2019
Chapter 15 – Errors Related to Information Technology (IT) 2019
Chapter 17a – Transfusion-Related Acute Lung Injury (TRALI) 2019
Chapter 18 – Haemolytic Transfusion Reactions (HTR) 2019
Chapter 19 – Uncommon Complications of Transfusion (UCT) 2019
Chapter 20 – Transfusion-Transmitted Infections (TTI) 2019
Chapter 24 – Anti-D Immunisation 2019