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Always report and review list 2018–19

16th November, 2021

The always report and review list has been updated for 2018–19, with a minor change to the definition relating to the 'wrong blood component' event. Based on feedback from the NZ Blood Service the definition has been updated to 'actual or near-miss transfusion of ABO incompatible red cells'. The always report and review list is updated regularly by the Health Quality & Safety Commission in consultation with the sector. To provide feedback on the list or suggest changes, contact

To view all national reportable events policy documents, click here.

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Last updated: 16th November, 2021