Adverse event reporting

Since 2007, the Serious Hazards of Transfusion (SHOT) scheme, in conjunction with the UK Cell Salvage Action Group, have collected reports on incidents which occur in either intraoperative or postoperative cell salvage systems.

The following adverse events are being collected:

• Abandoned procedures due to operator error (incorrect assembly, non Intravenous solutions, incorrect anticoagulant, collection time exceeded)
• Abandoned procedures due to machine failure (clotted lines/reservoirs)
• Adverse clinical events (pulmonary embolus, coagulopathy etc.)

The adverse event reporting table (PDF 36KB) lists trigger events and categories for reporting. For further information, please contact SHOT using the contact details below.

Website

Serious Hazards of Transfusion

Email

shot@nhsbt.nhs.uk

Telephone

0161 423 4208