title: [Responsibility for prescribing and monitoring an act transfusion and safety blood transfusion].
abstract: The act to transfuse is a prescription following basic rules similar to drug prescriptions. If harm happens, potentially linked with this prescription, the harm's responsibility is borne by the physician, the paramedics, the care organization but by the supplier laboratory too. The setting of good practice rules consistent with science data at the time when the act is performed, the respect of the patient's rights and the quality of supplied products will be assessed during the expertise. Under restorative responsibility, it is necessary to previously establish a direct and certain causation between the litigious act and the harm to enforce the vicarious liability. Nowadays, legal precedents grant a larger protection to more and more numerous victims, enhancing the field of the fault with the appeal to assumption of fault. At the same time, the lawmaker himself promulgated objective conditions of compensation for many categories of victims of medical risk from which transfused people are part. The law of March the 4th of 2002 went one step closer devoting a new foundation of compensation: national solidarity.
authors.affiliation: Service de médecine légale droit de la Santé-Aix-Marseille université UMR 7268 ADES, 13344 Marseille cedex 15, France. Electronic address: Marie-dominique.PIERCECCHI@ap-hm.fr.
authors.forename: M D
authors.initials: MD
authors.lastname: Piercecchi-Marti
authors.affiliation: Service de médecine légale droit de la Santé-Aix-Marseille université UMR 7268 ADES, 13344 Marseille cedex 15, France.
authors.forename: L
authors.initials: L
authors.lastname: Tuchtan-Torrents
authors.affiliation: Unité d'hémovigilance APHM, hôpital Sainte-Marguerite, 274, boulevard Sainte-Marguerite, 13009, France. Electronic address: nmenen@europa-organisation.com.
authors.forename: B
authors.initials: B
authors.lastname: Lassale
authors.affiliation: Service de médecine légale droit de la Santé-Aix-Marseille université UMR 7268 ADES, 13344 Marseille cedex 15, France.
authors.forename: G
authors.initials: G
authors.lastname: Leonetti
authors.affiliation: Service de médecine légale droit de la Santé-Aix-Marseille université UMR 7268 ADES, 13344 Marseille cedex 15, France.
authors.forename: C
authors.initials: C
authors.lastname: Bartoli
mesh_terms: D000488:Allied Health Personnel; D001771:Blood Banks; D058731:Blood Safety / Q000592:standards; D001803:Blood Transfusion / Q000331:legislation & jurisprudence* / Q000592:standards; D017848:Blood-Borne Pathogens; D015984:Causality; D035881:Compensation and Redress / Q000331:legislation & jurisprudence; D003951:Diagnostic Errors; D018562:Disease Transmission, Infectious / Q000331:legislation & jurisprudence / Q000517:prevention & control; D005602:France; D006801:Humans; D057970:Inappropriate Prescribing / Q000331:legislation & jurisprudence; D008318:Malpractice; D019300:Medical Errors; D017410:Practice Guidelines as Topic; D055656:Prescriptions / Q000592:standards; D012747:Sexual Partners; D012941:Social Responsibility; D065227:Transfusion Reaction; D016312:Treatment Refusal / Q000331:legislation & jurisprudence
keywords: Haemovigilance; Hémovigilance; Pratique professionnelle; Professional practices; Responsabilité médicale; Responsibility; Transfusion