Abstract
N LATE 1996, the Serious Hazards of Transfusion (SHOT) voluntary reporting system was launched in the United Kingdom, with a remit to receive and collate confidential reports of transfusion fatalities and major complications. This report aims to describe the setting up and running of SHOT, as an illustration of one approach to hemovigilance. However, an initial discussion of the transfusion process and its risks is needed to place hemovigilance in context.
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