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2017 SHOT Annual Report – Individual Chapters

Each chapter in the 2017 SHOT Annual Report is available below as a separate pdf file:

1. Foreword
2. Participation in UK Haemovigilance
3. Headline Data – Deaths, Major Morbidity and ABO-Incompatible Transfusions
4. Key Messages and Recommendations
5. Donor Haemovigilance

ERROR REPORTS – Human Factors

6. Human Factors in SHOT Error Incidents
7. Laboratory Errors
8. Right Blood Right Patient (RBRP)
9. Handling and Storage Errors (HSE)
10. Incorrect Blood Component Transfused (IBCT)
11. Avoidable, Delayed and Under or Overtransfusion (ADU) – Full Chapter

11a. Delayed Transfusion
11b. Avoidable Transfusion
11c. Under or Overtransfusion
11d. Incidents Related to Prothrombin Complex Concentrate (PCC)

12. Near Miss Reporting (NM)
13. Errors Related to Information Technology (IT)
14. Adverse Events Related to Anti-D Immunoglobulin (Ig)
15. Immune Anti-D in Pregnancy


16. Febrile, Allergic and Hypotensive Reactions (FAHR)
17. Transfusion-Transmitted Infections (TTI)
18. Pulmonary Complications – Full Chapter

18a. Transfusion-Related Acute Lung Injury (TRALI)
18b. Transfusion-Associated Circulatory Overload (TACO)
18c. Transfusion-Associated Dyspnoea (TAD)

19. Haemolytic Transfusion Reactions (HTR)
20. New or Unclassifiable Complications of Transfusion (UCT)

21. Cell Salvage (CS)
22. Paediatric Summary
23. Haemoglobin Disorders – Update
24. Medicines and Healthcare Products Regulatory Agency (MHRA) Report