Risk management in transfusion after the HIV blood contamination crisis in France: the impact of the precautionary principle
| Autor: | Christian Hervé, Lucile Bellier, Grégoire Moutel, Nathalie Duchange, Philippe Rouger, E. Hergon |
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| Přispěvatelé: | Institut National de la Transfusion Sanguine [Paris] (INTS), Laboratoire d'éthique médicale et médecine légale (LEM), Université Paris Descartes - Paris 5 (UPD5), Duchange, Nathalie |
| Rok vydání: | 2005 |
| Předmět: |
Blood contamination
Clinical Biochemistry Human immunodeficiency virus (HIV) HIV Infections 030204 cardiovascular system & hematology medicine.disease_cause 0302 clinical medicine MESH: Risk Factors [SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases Risk Factors Risk management media_common Precautionary principle 0303 health sciences MESH: HIV MESH: HIV In Environmental resource management MESH: Risk Management Transfusion medicine Hematology MESH: HIV Infections MESH: Virus Inactivation 3. Good health MESH: Blood Component Transfusion [SDV.MHEP.MI] Life Sciences [q-bio]/Human health and pathology/Infectious diseases France Prejudice Drug Contamination medicine.medical_specialty Interview media_common.quotation_subject MESH: Blood Transfusion Blood Component Transfusion Interviews as Topic 03 medical and health sciences medicine Humans Blood Transfusion 030304 developmental biology Risk Management Actuarial science MESH: Humans business.industry Public health Biochemistry (medical) HIV [SDV.ETH] Life Sciences [q-bio]/Ethics MESH: Interviews [SDV.ETH]Life Sciences [q-bio]/Ethics MESH: Drug Contamination MESH: France Virus Inactivation business |
| Zdroj: | Transfus Med Rev Transfus Med Rev, 2005, 19 (4), pp.273-80. ⟨10.1016/j.tmrv.2005.04.004⟩ Transfus Med Rev, 2005, 19 (4), pp.273-80. <10.1016/j.tmrv.2005.04.004> |
| ISSN: | 0887-7963 |
| Popis: | The importance of the precautionary principle in public health was highlighted in France after the HIV contamination of blood products used for transfusion. However, the definition of this principle, its objectives, the way in which it should be applied, and its consequences had not been considered previously. The question as to whether the application of the precautionary principle is appropriate remains unanswered. The aim of this study was to analyze the interpretations of the application of the precautionary principle to determine its consequences in terms of risk management and patient rights. This was accomplished by interviewing persons involved in transfusion medicine. We conducted 33 interviews and describe the issues enunciated for and against the application of the precautionary principle. The precautionary principle concept was confusing to the respondents. A major issue emerging from the interviews was that the precautionary principle was perceived more as a means of protecting the decision maker than as a means of protecting the patient. Taken to its extreme, the use of the precautionary principle could prejudice sound medical decision making. However, it was felt that it also can lead to the introduction of measures that update and gradually reduce risks associated with transfusion. |
| Databáze: | OpenAIRE |
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