insert your department, conference or presentation title
SAMPLE RECEIPT
Pre- transfusion sample receipt / booking in
NO
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
YES
Is the sample from a different
patient ?
insert your department, conference or presentation title
Report to SHOT
as a Near Miss
(WBIT)
CROSSMATCHING
Timing of the sample does not comply with BCSH
guidelines or local policy
NO
Report to SHOT as a
NEAR MISS HSE
YES
Report to SHOT as
a HSE
NO
Report to SHOT as a
NEAR MISS SRNM
Was blood transfused ?
Special requirements not met for patient
Was blood transfused ?
YES
Report to SHOT as a
IBCT SRNM
Incorrect blood group or component selected
NO
Report to SHOT as a
NEAR MISS, wrong
component selected
Was blood transfused ?
YES
insert your department, conference or presentation title
Report to SHOT
as a IBCT
LABELLING
Blood is labelled incorrectly
NO
Report to SHOT
as a NEAR MISS,
labelling error
Was blood transfused ?
YES
Report to SHOT
as a IBCT or RBRP
ISSUE / COLLECTION
Blood time-expires or become otherwise unsuitable for
transfusion when in the issue fridge?
NO
Not reportable to
SHOT
Was blood collected
for transfusion ?
YES
NO
Report to SHOT as a
NEAR MISS, expired unit
collected for transfusion
Was blood transfused ?
YES
insert your department, conference or presentation title
Report to SHOT as HSE
expired unit transfused