2020 Annual SHOT Report – Individual Chapters

Each chapter in the 2020 SHOT Annual Report is available below as a separate pdf file:

1. Foreword
2. Participation in United Kingdom (UK) Haemovigilance
3. Headline Data – Deaths Major Morbidity and ABO-Incompatible Transfusions
4. Key Messages and Recommendations
5. COVID-19 and Haemovigilance
6. Acknowledging Continuing Excellence (ACE) in Transfusion
7. Donor Haemovigilance

ERROR REPORTS – Human Factors

8. Human Factors in SHOT Error Incidents for supporting Audio Summary click here
9. Adverse Events Related to Anti-D Immunoglobulin (Ig)
10. Incorrect Blood Component Transfused (IBCT) for supporting Audio Summary click here
11. Handling and Storage Errors (HSE) for supporting Audio Summary click here
12. Avoidable, Delayed or Under-Overtransfusion (ADU) and Incidents Related to Prothrombin Complex Concentrates (PCC)
13. Near Miss (NM) Reporting including 13a Wrong Blood in Tube (WBIT)
14. Right Blood Right Patient (RBRP) for supporting Audio Summary click here
15. Laboratory Errors for supporting Audio Summary click here
16. Errors Related to Information Technology (IT) for supporting Audio Summary click here

REACTIONS IN PATIENTS

17. Febrile, Allergic and Hypotensive Reactions (FAHR) for supporting Audio Summary click here
18. Pulmonary Complications – Full Chapter  for supporting Audio Summaries click Ch.18a TRALI
19. Haemolytic Transfusion Reactions (HTR)
20. Uncommon Complications of Transfusion (UCT)
21. Transfusion-Transmitted Infections (TTI) for supporting Audio Summary click here

SPECIAL CLINICAL GROUPS

22. Cell Salvage (CS) for supporting Audio Summary click here
23. Paediatric Cases
24. Haemoglobin Disorders
25. Immune Anti-D in Pregnancy
26. Medicines and Healthcare products Regulatory Agency (MHRA) Report