SHOT Annual Report 2022
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. Order a printed 2022 Annual SHOT Report.
Annual SHOT Report Foldable Summaries
The foldable summaries are now available to order on the following website under stock code BLC789.3
Annual SHOT Report Individual chapters
The 2022 Annual SHOT Report is available as individual chapter by clicking on the links below:
- Foreword 2022
- Participation in United Kingdom (UK) Haemovigilance 2022
- Headline Data – Deaths, Major Morbidity and ABO-Incompatible Transfusions 2022
- Key Messages and Recommendations 2022
- Acknowledging Continuing Excellence in Transfusion (ACE) 2022 for supporting Audio Summary click here
- Donor Haemovigilance 2022
ERROR REPORTS – Human Factors
- Human Factors and Ergonomics in SHOT Error Incidents 2022 for supporting Audio Summary click here
- Adverse Events Related to Anti-D Immunoglobulin (Ig) 2022 for supporting Audio Summary click here
- Incorrect Blood Component Transfused (IBCT) 2022 for supporting Audio Summary click here
- Handling and Storage Errors (HSE) 2022 for supporting Audio Summary click here
- Avoidable, Delayed or Under-Overtransfusion (ADU) and Incidents Related to Prothrombin Complex Concentrate (PCC) 2022
- 11a. Delayed Transfusions 2022 for supporting Audio Summary click here
- 11b. Avoidable Transfusions 2022
- 11c. Under or Overtransfusion 2022
- 11d. Incidents Related to Prothrombin Complex Concentrate (PCC) 2022 for supporting Audio Summary click here
12a. Near Miss – Wrong Blood in Tube (WBIT) 2022
- Right Blood Right Patient (RBRP) 2022 for supporting Audio Summary click here
- Laboratory Errors 2022 for supporting Audio Summary click here
- Errors Related to Information Technology (IT) 2022
REACTIONS IN PATIENTS
- Febrile, Allergic and Hypotensive Reactions (FAHR) 2022 for supporting Audio Summary click here
- Pulmonary Complications of Transfusion 2022
17a. Transfusion-Associated Circulatory Overload (TACO) 2022 for supporting Audio Summary click here
17b. Pulmonary Complications of Transfusion (Non-TACO) 2022
- Haemolytic Transfusion Reactions (HTR) 2022 for supporting Audio Summary click here
- Uncommon Complications of Transfusion (UCT) 2022
- Transfusion-Transmitted Infections (TTI) 2022 for supporting Audio Summary click here
- Post-Transfusion Purpura (PTP) 2022
SPECIAL CLINICAL GROUPS
- Cell Salvage (CS) 2022 for supporting Audio Summary click here
- Paediatric Cases 2022 for supporting Audio Summary click here
- Haemoglobin Disorders 2022
- Transfusion Errors in Transplant Cases 2022
- Immune Anti-D in Pregnancy 2022
- MHRA Report on Blood Safety and Quality Regulations (BSQR) in 2022
Resources from the 2022 Annual SHOT Report
Use of SHOT resources:
The downloadable documents are the property of SHOT and have SHOT copyright. They must therefore NOT BE MODIFIED without permission.
Cases from the 2022 Annual SHOT Report
Figures from the 2022 Annual SHOT Report
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.