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Report, Summary and Supplement 2022

SHOT Annual Report and Summary

The SHOT Annual Report 2022 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 2022 Annual
SHOT Report (2023).


Errata 2022

Since publication of the 2022 Annual SHOT Report, there have been some errors discovered. 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 BLC789.3


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

2022 SHOT Annual Report – Individual Chapters


Supplementary Information

Additional analysis and case studies that could not be included in the main 2022 Annual SHOT Report is included below by chapter.

Chapter 2 – Participation in UK Haemovigilance 2022
Chapter 3 – Headline Data 2022
Chapter 5 – Acknowledging Continuing Excellence in Transfusion (ACE) 2022
Chapter 6 – Donor Haemovigilance 2022 – AEs_over70_combined_data_UK_blood_services
Chapter 7 – Human Factors and Ergonomics in SHOT Error Incidents 2022
Chapter 8 – Anti-D Ig Errors 2022
Chapter 9 – Incorrect Blood Component Transfused (IBCT) 2022
Chapter 11 – Avoidable, Delayed or Under-Overtransfusion (ADU) 2022
Chapter 12a – Near Miss – Wrong Blood in Tube (WBIT) 2022
Chapter 14 – Laboratory Errors 2022
Chapter 15 – Errors Related to Information Technology (IT) 2022 – coming soon
Chapter 16 – Febrile Allergic and Hypotensive Reactions (FAHR) 2022
Chapter 17b – Non-TACO Pulmonary Complications 2022 – coming soon
Chapter 19 – Uncommon Complications of Transfusion (UCT) 2022
Chapter 20 – Transfusion-Transmitted Infections (TTI) 2022
Chapter 24 – Haemoglobin Disorders 2022
Chapter 25 – Transfusion Errors in Transplant Cases 2022
Chapter 26 – Immune Anti-D in Pregnancy 2022


2022 SHOT Recommendations Gap Analysis Tool

The Gap Analysis Tool is now available for all SHOT reporting organisations to help identify gaps in local clinical and laboratory practices and systems to help implement the recommendations from the 2022 Annual SHOT Report and enhance transfusion safety.

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. Please email [email protected] with any queries relating to this.

SHOT GAP Analysis Tool 2022