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dc.contributor.authorBellamy, Mark
dc.contributor.authorNarayan, Shruthi
dc.contributor.authorSpinks, Courtney
dc.contributor.authorDavies, Jennifer
dc.contributor.authorPoles, Debbi
dc.contributor.authorMilser, Emma
dc.contributor.authorCarter-Graham, Simon
dc.contributor.authorTuckley, Victoria
dc.contributor.authorFlannagan, Joe
dc.contributor.authorYawitch, Tali
dc.date.accessioned2022-09-16T16:39:45Z
dc.date.available2022-09-16T16:39:45Z
dc.identifier.citationS Narayan (Ed) D Poles et al. on behalf of the Serious Hazards of Transfusion (SHOT) Steering Group. The 2020 Annual SHOT Report (2021).en_US
dc.identifier.isbn9781999596835
dc.identifier.urihttp://hdl.handle.net/20.500.12417/1318
dc.description.abstractTransfusion delays, particularly in major haemorrhage and major trauma situations, must be prevented. Delays in provision and administration of blood components including delays in anticoagulant reversal, particularly in patients with intracranial haemorrhage, can result in death, or serious sequelae. Every minute counts in these situations. Effective and reliable transfusion information technology systems should be implemented to reduce the risk of errors at all steps in the transfusion pathway, provided they are configured and used correctly. Effective investigation of all incidents and near miss events, application of effective corrective and preventive actions, and closing the loop by measuring the effectiveness of interventions should be carried out to optimise learning from incidents Taken from Key recommendations from summary: https://www.shotuk.org/wp-content/uploads/myimages/SHOT-Summary-ZCard-2020-v2.2.pdf Full text available at: https://www.shotuk.org/wp-content/uploads/myimages/SHOT-REPORT-2020.pdf
dc.language.isoenen_US
dc.publisherSerious Hazards of Transfusion (SHOT)en_US
dc.subjectError Reportsen_US
dc.subjectError Reports With No Harmen_US
dc.subjectReactions in Patientsen_US
dc.subjectSpecial Clinical Groupsen_US
dc.subjectBlood Transfusionen_US
dc.subjectSerious Hazards of Transfusion
dc.titleAnnual SHOT Report 2020en_US
dc.title.alternativeSHOT is affiliated to the Royal College of Pathologists. This report is produced by SHOT working with MHRA.en_US
dcterms.dateAccepted2022-07-04
rioxxterms.versionNAen_US
rioxxterms.typeTechnical Reporten_US
refterms.panelUnspecifieden_US
refterms.dateFirstOnline2021-07
html.description.abstractTransfusion delays, particularly in major haemorrhage and major trauma situations, must be prevented. Delays in provision and administration of blood components including delays in anticoagulant reversal, particularly in patients with intracranial haemorrhage, can result in death, or serious sequelae. Every minute counts in these situations. Effective and reliable transfusion information technology systems should be implemented to reduce the risk of errors at all steps in the transfusion pathway, provided they are configured and used correctly. Effective investigation of all incidents and near miss events, application of effective corrective and preventive actions, and closing the loop by measuring the effectiveness of interventions should be carried out to optimise learning from incidents Taken from Key recommendations from summary: https://www.shotuk.org/wp-content/uploads/myimages/SHOT-Summary-ZCard-2020-v2.2.pdf Full text available at: https://www.shotuk.org/wp-content/uploads/myimages/SHOT-REPORT-2020.pdfen_US


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