Is the Italian consent to transfusion really informed? A medico-legal analysis between old ghosts and new evidence.

informed consent medico legal evaluation patient blood management transfusion risk

Journal

Transfusion and apheresis science : official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis
ISSN: 1473-0502
Titre abrégé: Transfus Apher Sci
Pays: England
ID NLM: 101095653

Informations de publication

Date de publication:
Oct 2020
Historique:
received: 20 04 2020
revised: 08 05 2020
accepted: 18 05 2020
pubmed: 2 6 2020
medline: 7 8 2021
entrez: 2 6 2020
Statut: ppublish

Résumé

In healthcare systems of developed countries, obtaining informed consent is a necessary and fundamental requirement for the administration of any medical treatment. In Italy, for the administration of the recipient's informed consent for a blood transfusion, a pre-printed form is used in line with the Decree of the Ministry of Health dated 2 November 2015. This paper aims to analyse this form in light of the European legal provisions and following the enactment of Italian Law No. 219 of 2017 on informed consent and advance treatment directives. Our review shows that the structure of the form can be improved in light of the new direction provided by Italian law, the scientific advancement on transfusion risks, and the potential to reduce the use of blood components. Revising this form could be the opportune time to include written information on Patient Blood Management strategies. Though not exhaustive, this proposal may stimulate debate on the point and produce further contributions.

Identifiants

pubmed: 32475808
pii: S1473-0502(20)30118-X
doi: 10.1016/j.transci.2020.102823
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

102823

Informations de copyright

Copyright © 2020. Published by Elsevier Ltd.

Auteurs

Matteo Bolcato (M)

Department of Molecular Medicine, Legal Medicine, University of Padua, Padua, Via Falloppio 50, 35121 Padua, Italy; Medico legal college of the Italian Society of Hemapheresis and Cellular Manipulation SIDEM. Electronic address: matteo.bolcato@unipd.it.

Alessandra De Salvia (A)

Legal Medicine, AULSS "Pedemontana", Bassano del Grappa, Italy. Electronic address: alessandra.desalvia@gmail.com.

Daniele Rodriguez (D)

Department of Molecular Medicine, Legal Medicine, University of Padua, Padua, Via Falloppio 50, 35121 Padua, Italy. Electronic address: danielec.rodriguez@gmail.com.

Anna Aprile (A)

Department of Molecular Medicine, Legal Medicine, University of Padua, Padua, Via Falloppio 50, 35121 Padua, Italy. Electronic address: anna.aprile@unipd.it.

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