Major changes in the United Kingdom Serious Hazards of Transfusion System (Part 2): promoting learning from continuing excellence in transfusion
10.13303/j.cjbt.issn.1004-549x.2026.02.019
- VernacularTitle:英国输血严重风险监测预警系统重大变革（二）：推进从持续卓越输血实践中学习
- Author:
Yongjian GUO
1
;
Hongjie WANG
2
;
Junhong YANG
3
;
Xia HUANG
3
Author Information
1. Fujian Provincial Blood Centre, Fuzhou 350004, China
2. Bejing Red Cross Blood Centre, Beijing 100088, China; Sub-Committee of Blood Standards, National Committee of Health Standards, Beijing 100088, China
3. Chongqing Blood Center, Chongqing 400052, China
- Publication Type:Journal Article
- Keywords:
Serious Hazards of Transfusion, SHOT/United Kingdom;
excellence in transfusion;
safety culture;
transfusion safety;
transfusion governance
- From:
Chinese Journal of Blood Transfusion
2026;39(2):294-304
- CountryChina
- Language:Chinese
-
Abstract:
As the second part of this series, this article summarizes and synthesizes the key aspects of UK Serious Hazards of Transfusion (SHOT), SHOT’s continuous promotion of learning from excellent daily transfusion events over the past six years. This summary is based on an introduction to the holistic approach to improving patient safety—proactively learning from both failures and successes. The covered topics include an overview, definitions, case studies, implementation methods, safety culture, psychological safety in the workplace, civility in work, the use of neutral language, leading and lagging indicators, and compassionate governance. It is hoped that this article will assist domestic colleagues in understanding and studying the strategic significance of the transformation of transfusion safety governance in the UK, and inspire reflection on the strategic development direction of transfusion safety governance in China.
