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TO THE EDITOR: A transfusion reaction (TR) is any untoward event that occurs during or after blood transfusion and is not related to the patient’s underlying illness. It has been estimated that about 10% of all transfusions carry the risk of an adverse event [1]. Both, infectious and non-infectious TRs are associated with significant mortality and morbidity [2]. The frequency of TR is estimated to be 0.5 to 2.9 per 1,000 blood units [3,4,5,6]. However, the actual TR incidence is frequently underestimated; therefore, every hospital should have a hemovigilance program aimed at effectively reporting and analyzing TR in order to improve transfusion patient safety [5].

Steps taken to alleviate under-reporting of transfusion reactions at a public sector hospital in Pakistan