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(The precautionary principle applied to blood transfusion. What is its impact on practices and risk management?)
Hergon E., Moutel G., Duchange N., Bellier L., Hervé C., Rouger P.
Transfus Clin Biol 11, 3 (2004) 123-9 - http://www.hal.inserm.fr/inserm-00122479
(15488724)
[The precautionary principle applied to blood transfusion. What is its impact on practices and risk management?]
Eric Hergon () 1, 2, Grégoire Moutel2, Nathalie Duchange2, Lucile Bellier2, Christian Hervé2, Philippe Rouger1
1 :  INTS - Institut National de la Transfusion sanguine
Institut National de la Transfusion Sanguine
6 rue Alexandre Cabanel 75015 Paris
France
2 :  Laboratoire d'Ethique Médicale, de Droit de la Santé et de Santé Publique
http://www.ethique.inserm.fr
Université Paris V - Paris Descartes
156 rue de Vaugirard Paris 75015
France
The precautionary principle has boomed in the French public health sector through blood transfusion. There has been, however, no perambulatory reflection on the definition, objectives, methods of application or consequences of this principle. The question of the pertinence of its application remains unanswered. This study, based on interviews with blood transfusion practitioners, aims to establish their perceptions of the precautionary principle's application in this specific field and of its consequences in terms of risk management and patients' rights. The pros and cons of this application are analysed based on these perceptions. According to our analysis, the precautionary principle seems to be born of confusion. It is seen more as a way to protect decision makers than patients and, if taken to extremes, could prejudice medical logic. Nevertheless, it also brings measures which renew and encourage evolution in transfusion risk management.
Sciences du Vivant/Ethique
Sciences du Vivant/Médecine humaine et pathologie/Hématologie
Sciences du Vivant/Médecine humaine et pathologie/Maladies infectieuses
Français
1246-7820

Articles dans des revues avec comité de lecture
10.1016/j.tracli.2004.07.004
Transfus Clin Biol
07/2004
15/12/2004
11
3
123-9

Acquired Immunodeficiency Syndrome – Blood Transfusion – Culture – Decision Making – France – Guideline Adherence – HIV Infections – Humans – Models – Biological – Public Opinion – Research – Risk – Risk Management – Patient Advocacy
Institut International de Recherche en Ethique Biomédicale (IIREB)
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