SHOT Annual Report 2009 - Serious Hazards of Transfusion

3. Participation in Haemovigilance Reporting to SHOT
Data analysed for this chapter
Data analysed for this chapter include all reports made to SHOT in the years 2006–2009 including all Near Miss
reports and reports that were later withdrawn.
Introduction
This is the second year that SHOT has presented participation data in this format. These data have been accumulated
since the implementation of the BSQR 2005, 2 and, as with previous years, 2009 has seen an increase in the number of
reports made though the increase has not been as steep as that seen in 2008. The total number of reports analysed
here is made up from those evaluated by SHOT as reportable (1279), reports that were classified as Near Miss (799),
and reports later withdrawn as not SHOT reportable (397).
The term ‘reporting organisation’ is used throughout this chapter. A reporting organisation may be a single hospital or
may be a Trust or Health Board. While a reporting organisation may be registered on SABRE and report all of its incidents
under a single login, there are a number of organisations that have several reporters registered for reporting to SABRE.
For clarity SHOT has grouped all of the SHOT data downloaded from SABRE by reporting organisation, even where there
are separate registered reporters from that site. In 2009 there were 295 SABRE registered reporters and there were 26
reporters who made no report to the MHRA via SABRE. Some of these may have made SHOT only reports.
Table 1
Total number of reports to SHOT by UK country 2006–2009
2006 2007 2008 2009
Number % Number % Number % Number %
England 1050 82.1 1113 83.0 1816 83.4 1983 80.2
Northern Ireland 41 3.2 45 3.3 68 3.1 70 2.8
Scotland 98 7.7 84 6.3 148 6.8 189 7.6
Wales 90 7.0 99 7.4 145 6.7 233 9.4
United Kingdom 1279 100.0 1341 100.0 2177 100.0 2475 100.0
Table 2
Total number of reports per 10,000 components by country 2006–2009
2006 2007 2008 2009
England 4.3 4.6 7.7 8.1
Northern Ireland 5.3 6.6 10.0 10.5
Scotland 3.6 3.1 5.4 6.8
Wales 7.5 8.4 12.3 19.6
United Kingdom 4.4 4.8 7.8 8.5
The number of reports per 10,000 components issued has increased for the UK as a whole. However, there remains a
marked variation between the four UK countries, with Wales increasing its reporting rate by 60% between 2008 and
2009.
3. Participation in Haemovigilance Reporting to SHOT
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