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Annual SHOT Report 2015

Serious Hazards of Transfusion (SHOT)
Medicines and Healthcare products Regulatory Agency (MHRA)
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Be WARM: Work Accurately and Reduce Mistakes 1. Use a TACO checklist 2. Use a bedside checklist TACO Checklist Red Cell Transfusion for Non-Bleeding Patients. Human factors in hospital practice. Be safe! Use the bedside checklist. • Review the need for transfusion (do the benefits outweigh the risks)? • Can the transfusion be safely deferred until the issue can be investigated, treated or resolved? • Consider body weight dosing for red cells (especially if low body weight) • Transfuse one unit (red cells) and review symptoms of anaemia • Measure the fluid balance • Consider giving a prophylactic diuretic • Monitor the vital signs closely, including oxygen saturation
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