title: [Why is it necessary to review the December 15th 2003 circular relative to the transfusion act?].
abstract: Blood transfusion is currently a delegated medical act in patient care services. Following severe adverse events, hemovigilance now disposes of a dense regulation. Data collection and analysis in the national hemovigilance "e-FIT" database allow detection of errors or malfunctions in the transfusion act. Blood transfusion safety depends on the strict respect of processes from the prescription of blood products and required patient immuno-hematology exams to the administration of blood products and follow-up of the patient. In the circular relative to the transfusion act, many steps of the transfusion process, less explicit, can be interpreted differently by health care professionals and thus lead to errors or severe adverse events. Standardization of procedures for the transfusion act and its surveillance would increase their safety and avoid potential risks for the patient.
authors.affiliation: Unité d'hémovigilance, hôpital Sainte-Marguerite, AP-HM, 274, boulevard Sainte-Marguerite, 13009 Marseille, France. Electronic address: bernard.lassale@ap-hm.fr.
authors.forename: B
authors.initials: B
authors.lastname: Lassale
authors.affiliation: ARS Limousin, 24, rue Donzelot, 87031 Limoges, France.
authors.forename: M
authors.initials: M
authors.lastname: Besse-Moreau
authors.affiliation: 14, avenue de Salonique, 44300 Nantes, France.
authors.forename: J-P
authors.initials: JP
authors.lastname: Aullen
mesh_terms: D001771:Blood Banks / Q000331:legislation & jurisprudence* / Q000592:standards; D001788:Blood Grouping and Crossmatching; D058731:Blood Safety / Q000592:standards; D001803:Blood Transfusion / Q000331:legislation & jurisprudence* / Q000592:standards; D003625:Data Collection; D016208:Databases, Factual; D005602:France; D006282:Health Personnel; D006801:Humans; D018579:Patient Selection; D011159:Population Surveillance; D055656:Prescriptions / Q000592:standards; D011785:Quality Assurance, Health Care / Q000331:legislation & jurisprudence*; D012308:Risk Management; D065227:Transfusion Reaction
keywords: Gestion des risques; Haemovigilance; Hémovigilance; Pratique professionnelle; Precaution principle; Principe de précaution; Professional practices; Risk management; Transfusion