insert your department, conference or presentation title

insert your department, conference or presentation title

SAMPLE RECEIPT

Pre- transfusion sample receipt / booking in

Is the information on the form / label

identical?

These errors should be collated and

investigated internally, but are not reportable to SHOT

GROUPING

Grouping results do not match historical record

Is the sample from a different patient ?

Report to SHOT as a Near Miss

(WBIT)

NO

YES

insert your department, conference or presentation title

Timing of the sample does not comply with BCSH guidelines or local policy

Special requirements not met for patient

Was blood transfused ?

Report to SHOT as a NEAR MISS HSE

Report to SHOT asa HSE

Was blood transfused ?

Report to SHOT as a NEAR MISS SRNM

Report to SHOT as a IBCT SRNM

Incorrect blood group or component selected

Was blood transfused ?

NO

YES

Report to SHOT as a IBCT

Report to SHOT as a NEAR MISS, wrong component selected

YES

NO

NO

YES

CROSSMATCHING

insert your department, conference or presentation title

Blood time-expires or become otherwise unsuitable for transfusion when in the issue fridge?

Report to SHOT as a NEAR MISS, expired unit collected for transfusion

ISSUE / COLLECTION

Was blood transfused ?

YES

Report to SHOT as HSE expired unit transfused

NO

Was blood collected for transfusion ?

YES

NONot reportable to

SHOT

LABELLINGBlood is labelled incorrectly

Was blood transfused ?

NO

YES

Report to SHOT as a NEAR MISS,

labelling error

Report to SHOT as a IBCT or RBRP