Making good policy decisions: a discipline we cannot afford to ignore

Bennett, Judie Leach

doi:10.1111/trf.13382

Cited by 2 publications

(1 citation statement)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Ethical implications arise in various aspects of RBDM analysis, such as risk prioritization; resource allocation ; introduction of and especially withdrawal of blood safety interventions ; nature and extent of risk communication, transparency and the engagement of stakeholders in the decision‐making process; weighting of decision factors; ethical duties owed to transfusion recipients; distribution of risk and who bears the most risk; and the pursuit of societal good balanced with the implications for individual patients or blood donors. Further work is required on how best to incorporate qualitative features of blood safety risk issues, and specifically ethical analysis, into systematic decision‐making approaches such as RBDM.…”

Section: Assessmentmentioning

confidence: 99%

Risk‐based decision making in transfusion medicine

Bennett

Devine

2018

Vox Sanguinis

View full text Add to dashboard Cite

Formal processes to assess risk are well established in numerous areas of society including the environment, transportation, energy and food production sectors as well as some areas of health care such as new drugs or other therapeutic goods. However, these processes and their associated frameworks have only recently come to be used to make decisions in blood transfusion practice or in blood system policy development. This review describes the evolution of the use of risk-based decision making and discusses the elements that should be considered in its application to blood system issues. Following the identification and characterization of the risk, a structured process is undertaken to assess the magnitude of the risk and the level of risk reduction that can reasonably be achieved in the context of the complexity of the risk management action proposed and its cost. Inputs must be sought from appropriate subject matter experts, but also from those who can consider issues of ethics and social values. Engagement of the public is an essential step. Proposed interventions should be assessed for their likelihood of mitigating the risk and the proportional resource allocation in comparison with similar risks to the blood system or health system. Examples are provided of how a risk-based decision-making framework is used to address identified risks in the blood system.

show abstract

Section: Assessmentmentioning

confidence: 99%