The principles of PBM build on strategies for good clinical transfusion practice and lessons from haemovigilance. Many transfusion clinical practice improvement programs are already in place internationally. It can be helpful to use established practice improvement frameworks, where these exist, and build on them further to establish a PBM strategy.
The World Health Organization (WHO) supports PBM and has identified a number of priorities for action at international, national and hospital level (see reference). WHO has also developed Aides-Mémoire on key topics in transfusion safety to convey important messages to ministries of health and health professionals around safe and appropriate clinical use of blood. These are available here.
Establishing a PBM strategy needs leadership and support at all levels, from national and regional government policymakers and managers, to executive management and health professionals from various clinical disciplines within hospitals, and active participation by patients. Patient are at the centre of PBM and active participation of patients in the planning, implementation and evaluation of PBM programs is essential.