Blood transfusion safety: a new philosophy

Area of Science:

• Transfusion Medicine
• Public Health Policy
• Bioethics

Background:

• Blood transfusion safety faces historical challenges and evolving risks.
• International consensus on safe blood provision is lacking, despite EU legislation.
• Rising costs of safety measures necessitate a re-evaluation of decision-making processes.

Observation:

• Current blood safety decisions often rely on utilitarian principles like Quality Adjusted Life Years (QALYs).
• A comprehensive approach considering all aspects of the transfusion process is proposed over focusing solely on new interventions.
• There is a need for agreed safety levels for both known and unknown transfusion risks.

Findings:

• A comprehensive strategy for blood transfusion safety is advocated, encompassing the entire process.
• The article proposes a shift from utilitarian decision-making towards a 'justice as fairness' framework.
• Establishing a social contract for blood safety is recommended to ensure agreed safety levels and support.

Implications:

• Implementing a 'justice as fairness' model can lead to equitable blood safety standards.
• This approach aims to contain costs associated with enhanced safety measures.
• It ensures adequate care and support for individuals harmed by transfusion adverse events.