In its 2024 annual report, the Serious Hazards of Transfusion (SHOT) scheme shows evidence of a particularly challenging year for staff working in transfusion laboratories.
The Serious Hazards of Transfusion (SHOT) scheme collects and analyses anonymised information relating to serious adverse reactions (SAR) and serious adverse events (SAE) of blood transfusion reported in the United Kingdom. SHOT evaluates these data and provides resources to improve patient and transfusion safety through many channels.
This article provides a high-level overview of the Annual SHOT Report 2024, with a specific focus on laboratory practice. A breakdown of the Annual SHOT Report 2024 (assessing a total of 3,998 case reports), is shown in Figure 1.
In total 83.1% (3,322/3,998) of reports were errors, which continue to account for over 80% of reports submitted to SHOT each year. Learning from these incidents allow SHOT to identify trends in transfusion safety, develop educational resources and promote safer practice. The proportion of errors year on year remains consistent, therefore it is essential systematic barriers to safe practice are identified and improvements made.
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