Quel futur et quelle stratégie de sécurité pour un système devenu ultrasûr ?

Blood safety has never been so good, and the classic blood transfusion paradigm has never been so close to collapse. Direct and indirect medical indications are on the increase, safety constraints continue growing irrationally, and the resource continues going down. Of course the need for transfusion will never stop, and will be adequately addressed, but the means, today exclusively associated with donors, should move soon to other methods. Consequently, one will lose the benefits of 20 years of continuous quality and safety efforts associated with the logic of donors and will have to rethink safety according to potential pitfalls of new technologies. Blood safety is thus a perfect example of complex lessons on systemic control of risks. This article explains the scientific data and models on that type of systemic control and proposes a factual application to transfusion.