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Annual SHOT Report 2021
Serious Hazards of Transfusion (SHOT) Medicines and Healthcare products Regulatory Agency (MHRA)
Serious Hazards of Transfusion (SHOT)
Medicines and Healthcare products Regulatory Agency (MHRA)
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Abstract
Partnering with patients to enhance safety:
Staff must ensure that they involve, engage and listen to patients as ‘partners’ in their own care, including transfusion support. Engaging patients, their families, and carers as ‘safety partners’ helps co-create safer systems, identify, and rectify
preventable adverse events.
Investing in safety - well-resourced systems with safe staffing levels:
Healthcare leaders must ensure that systems are designed to support safe transfusion practice and allocate adequate resources in clinical and laboratory areas to ensure safe staffing levels, staff training in technical and non-technical skills and appropriate equipment, including IT systems.
Just and learning safety culture:
All healthcare leaders must promote a just, learning safety culture with a collective, inclusive, and compassionate leadership. Effective leaders must ensure staff have:
access to adequate training, mentorship, and support. All staff in clinical and laboratory areas have a responsibility to speak up in case of any concerns and help embed the safety culture in teams.