How do we conduct a national transfusion related lookback program?

• DOI: 10.1111/trf.17955
• Publication Date: 2024-07-14T17:09:14Z
• Authors: Nicole Priddee; Tiffany Pietrek; Lorna McLintock; Elizabeth Masterson; Megan Rowley; Kirsty Roy; Alan Yeung; Ike Anya; Daniel Carter; Stephen Barclay; Celia Jackson; Gill Hawkins; Nicola Steedman
• Keywords: Stakeholder Engagement

Abstract Background Lookback investigations are conducted by blood services when a risk of transmission infection from donor to recipient has been identified. They involve tracing transfusion recipients and offering them testing for the relevant infectious agent. Results relayed provide reassurance that there no or ensure appropriate treatment care if required, able learn lessons planning, delivery, outcomes investigation. A national lookback exercise was in Scotland following introduction test identify occult hepatitis B infection, as recommended UK Advisory Committee Safety Blood, Tissues Organs (SaBTO) 2021. Methods Materials This paper outlines development delivery program. It discusses logistical, economic, ethical, regulatory, scientific issues were considered during planning exercise. Development required robust governance, engagement all stakeholders shared understanding aims, effective communication, systems, resources, limitations, project management. Outcomes included high uptake, low levels reported anxiety, comprehensive data set. Conclusion Key aspects successful large‐scale program include patient‐centered approach, clear accessible whole‐systems multiagency collaboration. Major challenges stakeholder capacity.