Blood Safety
Blood safety encompasses activities intended to mitigate risks of blood transfusion including, in part, donor selection, laboratory testing, component collection, and monitoring transfusion recipients.
Hemovigilance (HV) constitutes one aspect of blood safety, and involves monitoring the entire spectrum of blood donation and transfusion.
The HV Module developed a set of standardized national surveillance procedures used in the monitoring of transfusion-associated adverse reactions, which are aimed at improving patient safety, minimizing morbidity and mortality of transfusion recipients, and identifying emerging complications and infections associated with recipient blood transfusions.
Protocols
2021 HV Module Protocol – March 2021 pdf icon[PDF – 600 KB]
Guidelines and procedures for monitoring transfusion-related reactions and incidents among reporting facilities.
Table of Contents:
- Section 1. HV Module Surveillance Overview pdf icon[PDF – 600 KB]
- Section 2. HV Module Annual Facility Survey pdf icon[PDF – 600 KB]
- Section 3: HV Module Adverse Reactions pdf icon[PDF – 600 KB]
- Section 4. HV Module Incidents pdf icon[PDF – 600 KB]
- Section 5. HV Module Denominators pdf icon[PDF – 600 KB]
Supporting Chapters
Data Collection Forms & Instructions
All Data Collection Forms are Print-only
HV Module Annual Facility Surveys
Please select the appropriate annual facility survey.
- Annual Acute Care Facility Survey – January 2020 (57.300) pdf icon[PDF – 100 KB]
- Annual Facility Survey Non-Acute Care Facility – January 2020 (57.306) pdf icon[PDF – 100 KB]
HV Module Monthly Reporting Plan
HV Module Monthly Reporting Denominators
HV Module Adverse Reaction Forms
Please select the appropriate adverse reaction form.
- Transfusion-associated circulatory overload (TACO) – January 2020 (57.318) pdf icon[PDF – 100 KB]
- Transfusion-related acute lung injury (TRALI) – January 2020 (57.317) pdf icon[PDF – 100 KB]
- Transfusion Associated Dyspnea (TAD) – January 2020 (57.315) pdf icon[PDF – 120 KB]
- Allergic Transfusion Reaction – January 2020 (57.308) pdf icon[PDF – 100 KB]
- Hypotensive Transfusion Reaction – January 2020 (57.312) pdf icon[PDF – 120 KB]
- Febrile Non-hemolytic Transfusion Reaction (FNHTR) – January 2020 (57.311) pdf icon[PDF – 100 KB]
- Acute Hemolytic Transfusion Reaction (AHTR) – January 2020 (57.307) pdf icon[PDF – 100 KB]
- Delayed Hemolytic Transfusion Reaction (DHTR) – January 2020 (57.309) pdf icon[PDF – 100 KB]
- Delayed Serologic Transfusion Reaction (DSTR) – January 2020 (57.310) pdf icon[PDF – 100 KB]
- Transfusion Associated Graft vs. Host Disease (TAGVHD) – January 2020 (57.316) pdf icon[PDF – 100 KB]
- Post Transfusion Purpura (PTP) – January 2020 (57.314) pdf icon[PDF – 100 KB]
- Transfusion-transmitted Infection (TTI) – January 2020 (57.313) pdf icon[PDF – 100 KB]
- Other Transfusion Reaction – January 2020 (57.320) pdf icon[PDF – 100 KB]
- Unknown Transfusion Reaction – January 2020 (57.319) pdf icon[PDF – 120 KB]
HV Module Incident Form
HV Module Monthly Incident Summary
- HV Discard Guidance and FAQ pdf icon[PDF – 125 KB]
- Quick tips for incident reporting pdf icon[PDF – 313 KB]
- Annual Facility Survey Question 17 Guidance pdf icon[PDF – 326 KB]
- User Guide for module-generated designations pdf icon[PDF – 229 KB]
- User Guide for reporting DSTR as Other reaction pdf icon[PDF – 404 KB]
- More on the page below
Quick Reference Guides
- HV Discard Guidance and FAQ pdf icon[PDF – 125 KB]
- Quick tips for incident reporting pdf icon[PDF – 313 KB]
- Annual Facility Survey Question 17 Guidance pdf icon[PDF – 326 KB]
- User Guide for module-generated designations pdf icon[PDF – 229 KB]
- User Guide for reporting DSTR as Other reaction pdf icon[PDF – 404 KB]
- SAMS Registration Steps pdf icon[PDF – 470 KB]
- Location Mapping in NHSN pdf icon[PDF – 250 KB]
- Biovigilance Component Alerts pdf icon[PDF – 250 KB]
- Reporting Zero Adverse Events pdf icon[PDF – 200 KB]
- Linking Incident Records to Adverse Reaction Records in the Hemovigilance Module pdf icon[PDF – 384 KB]
- Customizing Forms pdf icon[PDF – 250 KB]
- Create a Group pdf icon[PDF – 200 KB]
- Joining a Group pdf icon[PDF – 300 KB]
- Maintain a Group pdf icon[PDF – 250 KB]