2016 Annual SHOT Report – Individual Chapters

Each chapter in the 2016 SHOT Annual Report is available below as a separate pdf file:

1. Foreword and SHOT Update
2. Participation in UK Haemovigilance Reporting
3. Headline Data – Deaths Major Morbidity and ABO-Incompatible Transfusions
4. Key Messages and Recommendations
5. Donor Haemovigilance

ERROR REPORTS – Human Factors

6. Human Factors in SHOT Error Incidents
7. Laboratory Errors
8. Right Blood Right Patient (RBRP)
9. Handling and Storage Errors (HSE)
10. Incorrect Blood Components Transfused (IBCT)
11. Avoidable Delayed or Undertransfusion (ADU)
12. Near Miss Reporting (NM)
13. Information Technology (IT) Incidents
14. Adverse Events Related to Anti-D Immunoglobulin
15. Immune Anti-D in Pregnancy

REACTIONS IN PATIENTS

16. Acute Transfusion Reactions (Allergic, Hypotensive and Severe Febrile) (ATR)
17. Transfusion-Transmitted Infections (TTI)
18. Pulmonary Complications

18a. Transfusion-Related Acute Lung Injury (TRALI)
18b. Transfusion-Associated Circulatory Overload (TACO)
18c. Transfusion-Associated Dyspnoea (TAD)

19. Haemolytic Transfusion Reactions (HTR)
20. New or Unclassifiable Complications of Transfusion (UCT)
21. Cell Salvage (CS)
22. Paediatric Summary
23. Summary of Incidents Related to Transplant Cases
24. Haemoglobin Disorders Update
25. Medicines and Healthcare Products Regulatory Agency (MHRA)