Bulletin references October 2023
A full list of references for the October Bulletin is available here.
You can download a copy of the October 2023 Bulletin from our Bulletin pages.
Pathology challenges and the way forward
How can we reduce errors and make transfusion practice safer?
- International Society of Blood Transfusion. Haemovigilance. Available at: www.isbtweb.org/isbt-working-parties/haemovigilance.htm
- Bolton-Maggs PHB, Cohen H. Serious Hazards of Transfusion (SHOT) haemovigilance and progress is improving transfusion safety. Br J Haematol 2013;163:303–314.
- Bolton-Maggs PHB and Watt A. Transfusion errors – can they be eliminated? Br J Haematol 2020;189:9–20.
- Williamson LM, Lowe S, Love E, Cohen H, Soldan K, McClelland DBL et al. SHOT Annual Report 1996/1997. Manchester, UK: SHOT, 1998. Available at: www.shotuk.org/wp-content/uploads/myimages/2010/03/SHOT-Report-96-97.pdf
- Narayan S, Baker P, Bellamy M, Bentley A, Birchall J, Bolton-Maggs PHB et al on behalf of the SHOT Steering Group. The 2021 Annual SHOT Report. Manchester, UK: SHOT, 2022. Available at: www.shotuk.org/shot-reports/report-summary-and-supplement-2021/
- UK Government. Blood Safety and Quality (Amendment) (No.2) Regulations 2005 No.2898. 2005. Available at: www.legislation.gov.uk/uksi/2005/2898/contents/made
- NHS National Patient Safety Agency. Safer Practice Notice: Right Patient, Right Blood. 2006. Available at: webarchive.nationalarchives.gov.uk/ukgwa/20180501161059/http:/www.nrls.npsa.nhs.uk/resources/collections/right-patient-right-blood/
- Davies SC. Safe Transfusion Practice: Use a Bedside Checklist. London, UK: Medicines and Healthcare products Regulatory Agency, 2017. Available at: www.cas.mhra.gov.uk/ViewandAcknowledgment/ViewAlert.aspx?AlertID=10266
- SHOT. Cumulative Data from SHOT Relating to TACO. Available at: www.shotuk.org/resources/current-resources/data-drawers/transfusion-associated-circulatory-overload-taco-data-drawer/#:~:text=Transfusion-Associated%20Circulatory%20Overload%20%28TACO%29%20Cumulative%20Data%20Definition%3A%20TACO,not%20explained
- SHOT. Preventing Transfusion Delays in Bleeding and Critically Anaemic Patients. London, UK: Medicines and Healthcare products Regulatory Agency, 2022. Available at: www.cas.mhra.gov.uk/ViewandAcknowledgment/ViewAlert.aspx?AlertID=103190
- Bolton-Maggs PHB, Bellamy M, Watt A, Poles D, Mistry H, Carter-Graham S et al on behalf of the SHOT Steering Group. The 2017 Annual SHOT Report. Manchester, UK: SHOT, 2018. Available at: www.shotuk.org/wp-content/uploads/myimages/SHOT-Report-2017-WEB-Final-v4-25-9-18.pdf
- Murphy MF, Addison J, Poles D, Dhiman P, Bolton-Maggs PHB. Electronic identification systems reduce the number of wrong components transfused. Transfusion 2019;59:3601–3607.
- Staples S, Staves J, Davies J, Polley N, Boyd JS, Lukas M et al. Electronic remote blood issue supports efficient and timely supply of blood and cost reduction: evidence from five hospitals at different stages of implementation. Transfusion 2019;59:1683–1691.
- Braithwaite J, Wears RL, Hollnagel E. Resilient health care: turning patient safety on its head. Int J Qual Health Care 2015;27:418–420.
- Narayan S, Baker P, Bellamy M, Bentley A, Birchall J, Bolton-Maggs PHB et al on behalf of the SHOT Steering Group. The 2022 Annual SHOT Report. Manchester, UK, SHOT, 2023. Available at: www.shotuk.org/shot-reports/report-summary-and-supplement-2022/
- World Health Organisation. Global Patient Safety Action Plan 2021–2030: Towards Eliminating Avoidable Harm in Health Care. 2021. Available at: www.who.int/publications/i/item/9789240032705
- Holden RJ, Carayon P. SEIPS 101 and seven simple SEIPS tools. BMJ Qual Saf 2021;30:901–910.
The impact of workforce shortages on tackling antimicrobial resistance and healthcare-associated infections
- United Kingdom Strategic Health Agency. Three Year Strategic Plan 2023-2026. 2023. Available at: assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1173959/UKHSA_3_year_strategy.pdf
- Lawrence S, Aggarwal D, Davies A, Partridge D, Ratnaraja N, Llewelyn MJ. The state of hospital infection services in the UK: National Workforce Survey 2021. Clin Infect Pract 2022;15:100151.
- The Royal College of Pathologists. 2023 Infection Sciences Workforce. London, UK: The Royal College of Pathologists, 2023. Available at: www.rcpath.org/profession/workforce-planning/our-workforce-research/the-infection-sciences-workforce.html
- Llewelyn MJ, Price N, Ratnaraja N, Atkins B, Partridge D, Jeffery K. Where now for infection services in the NHS? How lessons from the pandemic should drive long-overdue integration of microbiology and infectious diseases. Clinical Medicine 2022;22:586–589.
- United Kingdom Strategic Health Agency. Start Smart then Focus: Antimicrobial Stewardship Toolkit for Inpatient Care Settings. 2023. Available at: www.gov.uk/government/publications/antimicrobial-stewardship-start-smart-then-focus/start-smart-then-focus-antimicrobial-stewardship-toolkit-for-inpatient-care-settings
- Department of Health and Social Care. Health and Social Care Act 2008: Code of Practice on the Prevention and Control of Infections. 2022. Available at: www.gov.uk/government/publications/the-health-and-social-care-act-2008-code-of-practice-on-the-prevention-and-control-of-infections-and-related-guidance
- Timbrook TT, Prinzi AM, Spivak ES. Diagnostic and antimicrobial stewardship workforce challenges: A crisis in combating antimicrobial resistance. Antimicrob Steward Healthc Epidemiol 2023;3:e60.
- Van Spronsen AD, Zychla L, Villatoro V, Yuan Y, Turley E, Ohinmaa A. Engaging laboratory staff in stewardship: barriers experienced by medical laboratory technologists in Canada. J Appl Lab Med 2022;7:480–494.
- Vaughn VM, Dunn GE, Horowitz JK, McLaughlin ES, Gandhi TN. Duties, resources and burnout of antibiotic stewards during the coronavirus 2019 (COVID-19) pandemic. Antimicrob Steward Healthc Epidemiol 2021;1;e39.
- United Kingdom Strategic Health Agency. National Statistics: Quarterly Epidemiological Commentary: Mandatory Gram-negative Bacteraemia, MRSA, MSSA and C. Difficile Infections. 2023. Available at: www.gov.uk/government/statistics/mrsa-mssa-gram-negative-bacteraemia-and-cdi-quarterly-report/quarterly-epidemiological-commentary-mandatory-gram-negative-bacteraemia-mrsa-mssa-and-c-difficile-infections-data-up-to-april-to-june-2022
- National Institute for Health and Care Excellence. COVID-19 Rapid Guideline: Antibiotics for Pneumonia in Adults in Hospital. NICE Guideline [NG173]. 2020. Available at: www.nice.org.uk/guidance/ng173
- Andrews A, Budd EL, Hendrick A, Ashiru-Oredope D, Beech E, Hopkins S et al. Surveillance of antibacterial usage during the COVID-19 pandemic in England, 2020. Antibiotics (Basel) 2021;10:841.
- Ratnaraja N, Davies AP, Atkins BL, Dhillon R, Mahida N, Moses S et al. Best practice standards for the delivery of NHS infection services in the United Kingdom. Clin Infect Pract 2021;12:100095.
Fetal RhD screening of maternal blood to support targeted Anti D prophylaxis – the story so far
- National Institute for Health and Care Excellence. High Throughput Non-invasive Prenatal Testing for Fetal RHD Genotype. London, UK: NICE, 2016. Available at: www.nice.org.uk/guidance/dg25
- National Institute for Health and Care Excellence. Review of DG25: High-Throughput Non-invasive Prenatal Testing for Fetal RHD Genotype. London, UK: NICE, 2021. Available at: www.nice.org.uk/guidance/dg25/evidence/review-decision-april-2021-pdf-9078748237
- British Society for Haematology. Blood Grouping and Antibody Testing in Pregnancy. London, UK: BSH, 2016. Available at: b-s-h.org.uk/guidelines/guidelines/blood-grouping-and-antibody-testing-in-pregnancy
- Soothill P, Finning K, Latham T, Wreford-Bush T, Ford J, Daniels G. Use of cffDNA to avoid administration of anti-D to pregnant women when the fetus is RhD-negative: implementation in the NHS. Br J Obstet Gynae 2015;122:1682–1686.
Who does the College serve? Perspective from an England regional representative
- Royal charities and patronages. Available at: www.royal.uk/charities-and-patronages
- The Royal College of Pathologists. The Royal Charter, Ordinances and By-laws of The Royal College of Pathologists. Published March 2022. Available at: www.rcpath.org/static/99a656e8-4b77-44dd-a7dc932fe2ddf23c/RCPath-Charter-Ordinances-By-laws-March-2022.pdf
- Lilley R. How do we fix the NHS? Ask frontline staff. The Guardian. Published February 2013. Available at: www.theguardian.com/healthcare-network/2013/feb/13/fix-nhs-frontline-staff-roy-lilley
College news
Transforming our College and pathology practice together
- NHS. Treatment: Gender dysphoria. Available at: www.nhs.uk/conditions/gender-dysphoria/treatment/
- Herman JL, Flores AR, O’Neill KK. How many adults identify as transgender in the United States? Los Angeles, CA, USA: The Williams Institute, June 2022. Accessed 8 July 2023. Available at: www.williamsinstitute.law.ucla.edu/publications/trans-adults-united-states/
- Office for National Statistics. Gender identity, England and Wales. Census 2021. Accessed 8 July 2023. Available at: www.ons.gov.uk/peoplepopulationandcommunity/culturalidentity/genderidentity/bulletins/genderidentityenglandandwales/census2021
Sharing our subject
Social disparities in medicine – promoting pathology to high-achieving 6th Form students from lower socioeconomic backgrounds
- Social Mobility Foundation. Who you know, not what you know: why is the work of the Social Mobility Foundation so important? 2020. Available at: www.socialmobility.org.uk/wp-content/uploads/2020/06/Social-mobility-information-pack-for-mentors-2020.pdf
- Social Mobility Foundation. 2022/23 Impact report. 2023. Available at: www.socialmobility.org.uk/wp-content/uploads/2023/05/Social-Mobility-Foundation-Impact-Report-2022%E2%80%9323.pdf
Training
The Royal College of Physicians’ Chief Registrar Programme – an insight into senior leadership roles
- Future Hospital Commission. Future Hospital: Caring for Medical Patients. A Report from the Future Hospital Commission to the Royal College of Physicians. London, UK: Royal College of Physicians, 2013. Available at: www.rcplondon.ac.uk/projects/outputs/future-hospital-commission
- Royal College of Physicians. Chief Registrar Programme: Information for Trainee Doctors. 2021. Available at: www.rcplondon.ac.uk/projects/outputs/chief-registrar-programme-information-trainee-doctors
Working smarter
A cross-department working model supporting an out-of-hours deceased donor human leukocyte antigen typing service
- NHS Blood and Transplant. Taking organ transplantation to 2020. Available at: www.odt.nhs.uk/odt-structures-and-standards/key-strategies/archived-strategies/taking-organ-transplantation-to-2020/
- NHS Blood and Transplant. Organ donation and transplantation 2030: Meeting the need. Available at: www.odt.nhs.uk/odt-structures-and-standards/key-strategies/meeting-the-need-2030/
- Department for Health. Organs for transplants: A report from the Organ Donation Taskforce. 2008. Available at: www.bsuh.nhs.uk/library/wp-content/uploads/sites/8/2020/09/DOH-organ-donation-taskforce-report-2008.pdf
- NHS Blood and Transplant. Donor characterisation review report. 2017. Available at: www.odt.nhs.uk/transplantation/pathology-services/donor-characterisation/
- Department for Health and Social Care. Productivity in NHS hospitals. 2015. Available at: www.gov.uk/government/publications/productivity-in-nhs-hospitals
Reworking clinical governance for pathology – a fresh start
- Healthcare Improvement Scotland. Learning from Adverse Events Through Reporting and Review: A National Framework for Scotland. 2019. Available at: www.healthcareimprovementscotland.org/our_work/governance_and_assurance/learning_from_adverse_events/national_framework.aspx
People
The William Tong Prize – ultra-sensitive HBV DNA detection and risk prediction of occult hepatitis B virus infection in blood donors in England
- Candotti D, Assennato SM, Laperche S, Allain JP, Levicnik-Stezinar S. Multiple HBV transfusion transmissions from undetected occult infections: revising the minimal infectious dose. Gut 2019;68:313–321.