A report has been issued today by the Medicines and Healthcare products Regulatory Agency (MHRA) on the use of blood transfusion sets – this publication follows our own Safety Spotlight issued last year on the topic following a MNSI investigation.

The MHRA Devices Safety Information (DSI) publication is based on the case of a blood transfusion which resulted in brain damage to a baby due to use of an incorrect infusion line.

The details of the original MNSI investigation are contained within our Safety Spotlight and have also been highlighted by the British Association of Perinatal Medicine.

We would encourage all trusts to view our Safety Spotlight and the new DSI publication from the MHRA in order to ensure the highest standards of safety in this area.

We have helped support the MHRA with their work on this publication, which builds on our earlier investigation, and look forward to their insights further helping improve safety within maternity and newborn services.

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