Annual SHOT Report
The SHOT Annual Report 2016 below contains links to individual chapters on the Contents pages. These enable you to easily navigate to the chapter you require. There are also bookmarks on the left hand side of the pdf field for each chapter.
The electronic pdf below contains the web only MHRA chapter. This does not appear in the printed version.
Please cite this document as:
PHB Bolton-Maggs (Ed) D Poles et al. on behalf of the Serious Hazards of Transfusion (SHOT) Steering Group. The 2016 Annual SHOT Report (2017).
Annual SHOT Report Summaries
SHOT Report 2016 Summary Infographic
Annual SHOT Report Individual Chapters
The Annual SHOT Report 2016 is available as individual chapters by clicking below:
Chapter 1 Foreword and SHOT Update (106kB pdf)
Chapter 2 Participation in UK Haemovigilance Reporting (127kB pdf)
Chapter 3 Headline Data – Deaths Major Morbidity and ABO-Incompatible Transfusions (258kB pdf)
Chapter 4 Key Messages and Recommendations (105kB pdf)
Chapter 5 Donor Haemovigilance (132kB pdf)
ERROR REPORTS
Chapter 6 Human Factors in SHOT Error Incidents (121kB pdf)
Chapter 7 Laboratory Errors (194kB pdf)
Chapter 8 Right Blood Right Patient (RBRP) (142kB pdf)
Chapter 9 Handling and Storage Errors (HSE) (116kB pdf)
Chapter 10 Incorrect Blood Components Transfused (IBCT) (2MB pdf)
Chapter 11 Avoidable Delayed or Undertransfusion (ADU) (627kB pdf)
ERROR REPORTS WITH NO HARM
Chapter 12 Near Miss Reporting (NM) (218kB pdf)
Chapter 13 Information Technology (IT) Incidents (116kB pdf)
REACTIONS IN PATIENTS
Chapter 14 Adverse Events Related to Anti-D Immunoglobulin (162kB pdf)
Chapter 15 Immune Anti-D in Pregnancy (155kB pdf)
Chapter 16 Acute Transfusion Reactions (Allergic, Hypotensive and Severe Febrile) (ATR) (132kB pdf)
Chapter 17 Transfusion-Transmitted Infections (TTI) (199kB pdf)
Chapter 18 Pulmonary Complications (1MB pdf)
18a. Transfusion-Related Acute Lung Injury (TRALI) (122kB pdf)
18b. Transfusion-Associated Circulatory Overload (TACO) (1MB pdf)
18b. Transfusion-Associated Circulatory Overload (TACO) (1MB pdf)
18c. Transfusion-Associated Dyspnoea (TAD) (114kB pdf)
Chapter 19 Haemolytic Transfusion Reactions (HTR) (140kB pdf)
Chapter 20 New or Unclassifiable Complications of Transfusion (UCT) (108kB pdf)
Chapter 21 Cell Salvage (CS) (111kB pdf)
SPECIAL CLINICAL GROUPS
Chapter 22 Paediatric Summary (168kB pdf)
Chapter 23 Summary of Incidents Related to Transplant Cases (132kB pdf)
Chapter 24 Haemoglobin Disorders Update (160kB pdf)
Chapter 25 Medicines and Healthcare Products Regulatory Agency (MHRA) (167kB pdf)