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Report, Summary and Supplement 2021

SHOT Annual Report and Summary

The SHOT Annual Report 2021 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 2021 Annual
SHOT Report (2022).


Errata 2021

Since publication of the 2021 Annual SHOT Report, there have been some errors discovered. These have been corrected in the online copies of the Annual Report and the Summaries (above), however these will remain incorrect in any printed versions. Details of the corrections can be found here


Foldable Summaries

The foldable summaries are now available to order on the following website under stock code BLC789-2


Individual pdfs of each chapter can be viewed by clicking the link below:

2021 SHOT Annual Report – Individual Chapters

Supplementary Information

Chapter 2 – Participation in UK Haemovigilance 2021
Chapter 3 – Headline Data 2021
Chapter 7 – Human Factors 2021
Chapter 8 – Anti-D Ig Errors 2021 – Coming soon
Chapter 9 – Incorrect Blood Component Transfused (IBCT) 2021
Chapter 11 – Avoidable, Delayed or Under-Overtransfusion (ADU) 2021
Chapter 12a – Near Miss – Wrong Blood in Tube (WBIT) 2021
Chapter 17b – Non-TACO Pulmonary Complications 2021
Chapter 19 – Uncommon Complications of Transfusion (UCT) 2021 – Coming soon
Chapter 22 – Paediatric Cases 2021
Chapter 25 – Immune Anti-D in Pregnancy 2021

2021 SHOT Recommendations Gap Analysis Tool

The Gap Analysis Tool 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 Recommedations, and to plan and monitor continuous improvement in patient safety.

2021 SHOT Recommendations Gap Analysis Tool