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Blood Matters Serious Transfusion Incident Report 2018-19

This may be of interest to members.

“Blood Matters is pleased to present the annual Serious Transfusion Incident Report for 2018-19, available on the Blood Matters webpage https://www2.health.vic.gov.au/hospitals-and-health-services/patient-care/speciality-diagnostics-therapeutics/blood-matters/serious-transfusion-incidents

This report contains information on reactions, incidents and near misses that occurred in health services from Victoria, Tasmania, Australian Capital Territory and Northern Territory between 1 July 2018 and 30 June 2019.

Reports are voluntary in nature and de-identified to protect patients, staff and health service confidentiality.  Data, case studies and recommendations to improve practice are presented, and a summary report is also available.

All registered health services will also receive an individual summary of the reactions, incidents and near miss events they reported during the same period.

We realise there is some delay in providing this report due to the need to wait for return of investigations and validation steps by the expert group. For this reason, STIR also provides regular Bulletins, to address serious issues in a timelier way. These Bulletins can also be found on the Blood Matters webpage.

Participating in the STIR program assists health services to report haemovigilance data at both jurisdictional and national levels, with de-identified data from STIR reported to the National Haemovigilance Report.

If your health service is not participating in STIR and wishes to, or you have any questions regarding your individual report or the STIR annual report, please contact the Blood Matters secretariat on 03 9694 3523 or email: STIR@redcrossblood.org.au.”