Each chapter in the 2023 SHOT Annual Report is available below as a separate pdf file:
2. Participation in United Kingdom (UK) Haemovigilance 2023 (1MB pdf)
3. Headline Data – Deaths, Major Morbidity and ABO-Incompatible Transfusions 2023 (2MB pdf)
4. Key Messages and Recommendations 2023 (2MB pdf)
5. The Infected Blood Inquiry and Haemovigilance 2023 (281kB pdf)
6. Acknowledging Continuing Excellence in Transfusion (ACE) 2023 (1MB pdf)
7. Donor Haemovigilance 2023 (925kB pdf)
ERROR REPORTS – Human Factors
8. Human Factors and Ergonomics in SHOT Error Incidents 2023 (1MB pdf)
9. Adverse Events Related to Anti-D Immunoglobulin (Ig) 2023 (1MB pdf)
10. Incorrect Blood Component Transfused (IBCT) 2023 (2MB pdf)
11. Handling and Storage Errors (HSE) 2023 (1MB pdf)
12. Avoidable, Delayed or Under-Overtransfusion (ADU) (3MB pdf)
- 12a. Delayed Transfusions 2023
- 12b. Avoidable Transfusions 2023
- 12c. Under or Overtransfusion 2023
- 12d. Incidents Related to Prothrombin Complex Concentrates 2023
ERROR REPORTS WITH NO HARM
13.-Near-Miss-NM-Reporting-2023 (1MB pdf)
14. Right Blood Right Patient (RBRP) 2023 (956kB pdf)
ERROR REPORTS COMPOSITE CHAPTERS
15. Laboratory Errors 2023 (2MB pdf)
16. Errors Related to Information Technology (IT) 2023 (1MB pdf)
REACTIONS IN PATIENTS
17. Febrile, Allergic and Hypotensive Reactions (FAHR) 2023 (1MB pdf)
18. Pulmonary Complications 2023 (3MB pdf)
- 18a. Transfusion-Associated Circulatory Overload (TACO) 2023
- 18b. Pulmonary Complications of Transfusion Non-TACO 2023
19.-Haemolytic-Transfusion-Reactions-HTR-2023 (2MB pdf)
20. Uncommon Complications of Transfusion (UCT) 2023 (677kB pdf)
21. Transfusion-Transmitted Infections (TTI) 2023 (973kB pdf)
22. Post-Transfusion Purpura (PTP) 2023 (467kB pdf)
SPECIAL CLINICAL GROUPS
23. Cell Salvage (CS) 2023 (887kB pdf)
24. Paediatric Cases 2023 (2MB pdf)
25. Haemoglobin Disorders 2023 (1MB pdf)
26. Transfusion Errors in Transplant Cases 2023 (1MB pdf)
27. Immune Anti-D in Pregnancy 2023 (1MB pdf)
28. Medicines and Healthcare products Regulatory Agency (MHRA) Report 2023 (879kB pdf)