Part C Annual Notification Format for Serious Adverse Events
United Kingdom
Reporting establishment
| Reporting period | 1 January-31 December (year) |
Total number of blood and blood components processed:
| Serious adverse event, affecting quality and safety of blood component due to a deviation in: | Total number | Specification | |||
|---|---|---|---|---|---|
| Product defect | Equipment failure | Human error | Other(specify) | ||
| Whole blood collection | |||||
| Apheresis collection | |||||
| Testing of donations | |||||
| Processing | |||||
| Storage | |||||
| Distribution | |||||
| Materials | |||||
| Others (specify) | |||||