Ethics in Blood Transfusion
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Ethics in Blood Transfusion Definitions What is right/ good Human duty/ logic of moral discourse Examine troubling dilemmas Ethics is a dynamic process Making decisions First do no harm Respect/ Autonomy (patient’s) – wishes, dignity, privacy Justice – treat cases alike, fairly distribute benefits, burdens Principled approach to medical ethics Goal of medicine Heal, cure Comfort, palliate Preserve, promote health Basic medico-ethical principles Autonomy – dignity, integrity of human beings Beneficence Justice, equality Medico-ethical guidelines/ Code in Transfusion medicine International Society of Blood Transfusion (ISBT) (Code of ethics for blood donation, transfusion) Code adopted by WHO Active participants in transfusion medicine Guides in implementing basic principles Goals for BTS (Blood Transfusion Services) Acceptable mission of a BTS Meet perceived needs of patient Minimum cost Minimum wastage Maximum safety, efficacy Ethical approach Donors Physicians Recipients Blood Transfusion Form Duty of Donor Blood donation Do no harm to donor’s health No risk to health of recipient Responsibilities Voluntary/ No financial incentive Made to understand – social obligations Safety of blood supply – depend on retention of regular donors Obligations to donors Trained BTS staff in contact No pressure/ discrimination Assure/ educate donors – blood is handled, distributed with care BTS use updated, authorized, detailed criteria for selection, deferral, exclusion • Explained/ understood • Informed consent • Donor information - confidential • Confidential matters – conveyed in private Anonymous – donor, recipient Plasmapheresis – handled by specifically trained personnel/ nurses No wastage – clinician prescribing the blood Duty of Physician Indications Most effective therapy with maximum safety Transfusion practices review committee Prescription procedure/ blood transfusion guideline (prevent errors in requesting, supplying, administrating blood) Duty of Recipient Informed consent – explained/ understood • capacity to understand • adequate information • obtained without coercion Verify/ Identify – each blood unit pretransfusion Investigate – reactions/ complications Prescribed only with genuine therapeutic indication No financial incentive
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Ethics in Blood Transfusion
Transcript of Ethics in Blood Transfusion
Ethics in Blood Transfusion
Definitions
What is right/ good
Human duty/ logic of moral discourse
Examine troubling dilemmas
Ethics is a dynamic process
Making decisions
First do no harm
Respect/ Autonomy (patient’s) – wishes, dignity, privacy
Justice – treat cases alike, fairly distribute benefits, burdens
Principled approach to medical ethics
Goal of medicine
Heal, cure
Comfort, palliate
Preserve, promote health
Basic medico-ethical principles
Autonomy – dignity, integrity of human beings
Beneficence
Justice, equality
Medico-ethi cal guidelines/ Code in Transfusion medicine
International Society of Blood Transfusion (ISBT)
(Code of ethics for blood donation, transfusion)
Code adopted by WHO
Active participants in transfusion medicine
Guides in implementing basic princi ples
Goals for BTS (Blood Transfusion Services)
Acceptable mission of a BTS
Meet perceived needs of patient
Minimum cost
Minimum wastage
Maximum safety, effica cy
Ethical approach
Donors
Physicians
Recipients
Blood Transfusi on Form
Duty of Donor
Blood donation
Do no harm to donor’s health
No risk to health of recipient
Responsibilities
Voluntary/ No financial incentive
Made to understand – social obligations
Safety of blood supply – depend on retention of regular donors
Obligations to donors
Trained BTS staff in contact
No pressure/ discrimination
Assure/ educate donors – blood is handled, distributed with care
BTS use updated, authorized, detailed criteria for selection, deferral, exclusion
• Explained/ understood
• Informed consent
• Donor information - confidential
• Confidential matters – conveyed in private
Anonymous – donor, recipient
Plasmapheresis – handled by specifically trained personnel/ nurses
No wastage – clinician prescribing the blood
Duty of Physician
Indications
Most effective therapy with maximum safety
Transfusion practices review committee
Prescription procedure/ blood transfusion guideline
(prevent errors in requesting, supplying, administrating blood)
Duty of Recipient
Informed consent – explained/ understood
• capacity to understand
• adequate information
• obtained without coercion
Verify/ Identify – each blood unit pretransfusion
Investigate – reactions/ complications
Prescribed only with genuine therapeutic indication
No financial incentive
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