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Striving to improve transfusion safety: The 2021 SHOT Report

Nicola Swarbrick, Laboratory Incident Specialist at the Serious Hazards of Transfusion scheme, presents the key findings and recommendations from its 2021 report, which also marks 25 years since it was created to oversee and review haemovigilance reporting.

Serious Hazards of Transfusion (SHOT) works collaboratively with the Medicines and Healthcare products Regulatory Agency (MHRA) to oversee haemovigilance in the UK, collecting and analysing anonymised reports relating to serious adverse reactions (SAR) and serious adverse events (SAE) following blood transfusion. This is done via an integrated electronic reporting portal. SHOT also accepts reports of near miss (NM) events and acknowledging continuing excellence (ACE) which recognises exceptional practice. Reviewing these events on a national scale helps identify trends in reports received, make annual recommendations, and provide key learning points to proactively improve patient and transfusion safety, as outlined in the Annual SHOT Report (ASR). 

              Haemovigilance is instrumental in improving transfusion safety, both for donors and patients. Haemovigilance data helps assess risks associated with transfusions, provide assurance about safety, and helps identify areas for improvement. This also facilitates dissemination of knowledge amongst professionals to minimise the risk of adverse events.

              SHOT is celebrating 25 years of haemovigilance reporting in the UK this year. During its first year SHOT received only 169 reports, which has now grown to 4088 reports submitted in 2021. 2021 was the first year that 100% of UK NHS Trusts/Health Boards involved in transfusion submitted reports to SHOT. This is commendable in what has been another difficult year for NHS staff and indicates an open and fair reporting culture, where staff learn from things that go wrong.

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Upcoming Events

Pathology Horizons 2024

MacDonald Bath Spa Hotel, Bath
18-20 April, 2024

Diagnostics North East Conference 2024

The Catalyst, Newcastle upon Tyne
19 April, 2024

ECCMID 2024 - European Congress of Clinical Microbiology and Infectious Diseases

Fira Gran Via, 08038 Barcelona, Spain
27-30 April 2024

British Society for Microbial Technology Annual Microbiology Conference

UK Health Security Agency, Colindale, London
2 May 2024

EQA Reports: Interpreting Key Information & Troubleshooting Tips

ONLINE - Zoom
Thursday 16th May 2024

Participants’ Meeting: UK NEQAS Immunology, Immunochemistry & Allergy

Sheffield Hallam University, City Campus, Howard Street, Sheffield
24th May 2024

Access the latest issue of Pathology In Practice on your mobile device together with an archive of back issues.

Download the FREE Pathology In Practice app from your device's App store

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