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Annual SHOT Report 2018

Serious Hazards of Transfusion (SHOT)
Medicines and Healthcare products Regulatory Agency (MHRA)
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All NHS organisations must move away from a blame culture towards a just and learning culture. All clinical and laboratory staff should be encouraged to become familiar with human factors and ergonomics concepts. All transfusion decisions must be made after carefully assessing the risks and benefits of transfusion therapy. Collaboration and co-ordination among staff is vital.
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