[Certification of health establishments: the changing perspective on transfusion risk]

Abstract

The HAS certification for healthcare organisation has gradually introduced the concepts of risk and relevance of care. Related to quality and safety of care, the transfusion act has early been part of the referential, and it seemed interesting to us to observe the changes in the requirements on this topic. After taking into account the regulations and the organization of haemovigilance in the establishment, it is now the search for the factual result for the patient which is the objective of the two main criteria devoted to transfusion. At the same time as the referential, the investigation methods have also evolved: the targeted tracer for Labile Blood Products and Blood-Derived Medicines allows a more detailed analysis geared towards the effective implementation of good transfusion practices. In conclusion, certification has moved from organizing and auditing the process to directly measuring transfusion safety for the patient.

Keywords: Blood transfusion; Certification HAS des établissements de santé; Certification HAS for healthcare organisation; Pertinence; Relevance of care; Risque; Traceur ciblé; Transfusion; Transfusion risk; « Targeted-tracer »; Évaluation.