Each chapter in the 2015 SHOT Annual Report is available below as a separate pdf file:
1. Foreword and SHOT Update
2. Participation in UK Haemovigilance Reporting
3. Headlines – Deaths, Major Morbidity and ABO-Incompatible Transfusions
4. Key Messages and Recommendations
ERROR REPORTS – Human Factors
5. Laboratory Errors and MHRA Serious Adverse Events
6. Incorrect Blood Components Transfused (IBCT)
7. Avoidable Delayed or Undertransfusion (ADU)
8. Near Miss Reporting (NM)
9. Adverse Events Related to Anti-D Immunoglobulin (Ig) (Short version)
10. Information Technology (IT) Incidents
11. Acute Transfusion Reactions (Allergic, Hypotensive and Severe Febrile) (ATR)
12. Transfusion-Transmitted Infections (TTI)
13. Pulmonary Complications
14. Haemolytic Transfusion Reactions (HTR)
15. New or Unclassifiable Complications of Transfusion (UCT)
16. Paediatric Summary
17. Anti-D immunisation in pregnancy – cases reported in 2015 (Short version)
18. Medicines and Healthcare Products Regulatory Agency (MHRA) Report on Blood Safety and Quality Regulation in 2015
19. Right Blood Right Patient (RBRP)
20. Handling and Storage Errors (HSE)
21. Adverse Events Related to Anti-D Immunoglobulin (Ig) Prescription Administration and Sensitisation (Full version)
22. Immune Anti-D in Pregnancy – cases reported up to end of 2015 (Full version)
23. Summary of Incidents Related to Transplant Cases
24. Transfusion-Related Acute Lung Injury (TRALI)
25. Post-Transfusion Purpura (PTP)
26. Cell Salvage
27. Alloimmunisation
28. Haemoglobin Disorders – Updated Cumulative Summary of Events
29. Donor Haemovigilance
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