{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T17:57:33Z","timestamp":1790618253532,"version":"4.1.0"},"reference-count":26,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["eJHaem"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Blood donation is a generous act that saves lives. However, the journey of the donated blood from collection to patient benefit is complex, and donor value may be reduced or lost through collection and processing losses, inventory wastage, expiry, handling errors, inappropriate clinical utilisation and incidents. Patient Blood Management (PBM) has transformed transfusion practice by promoting evidence\u2010based blood use, yet no equivalent donor\u2010centred framework exists to protect donor value across the full donation\u2010to\u2010transfusion pathway. We propose Donor Blood Management (DBM), built on four interconnected pillars: (i) Collection and processing optimisation, (ii) inventory optimisation, (iii) appropriate utilisation and (iv) haemovigilance and improvement. DBM promotes shared accountability among blood services, hospitals, clinicians and regulators to reduce avoidable losses and maximise the benefit of every donation. We also propose Donor\u2010to\u2010Recipient Value Yield (DRVY) as a stewardship metric to measure the proportion of donated blood ultimately transfused appropriately. DRVY is not intended to replace existing vein\u2010to\u2010vein data infrastructure but to provide a standardised, quality\u2010improvement interpretation of linked donor, component and recipient data, complementing PBM within a donor\u2010centred framework.<\/jats:p>\n                  <jats:p>\n                    <jats:bold>Trial Registration<\/jats:bold>\n                    : The authors have confirmed clinical trial registration is not needed for this submission.\n                  <\/jats:p>","DOI":"10.1002\/jha2.70401","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T17:09:35Z","timestamp":1790615375000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Donor Blood Management: A Complementary Framework to Patient Blood Management"],"prefix":"10.1002","volume":"7","author":[{"given":"Allameddine","family":"Allameddine","sequence":"first","affiliation":[{"name":"Northern Ireland Blood Transfusion Service  Belfast UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Piccin","sequence":"additional","affiliation":[{"name":"Royal College of Surgeons  Dublin Ireland"},{"name":"Mater Private Hospital  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1182\/hematology.2019000063"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tmrv.2016.05.012"},{"key":"e_1_2_8_4_1","volume-title":"The Urgent Need to Implement Patient Blood Management: Policy Brief","author":"World Health Organization","year":"2021"},{"key":"e_1_2_8_5_1","volume-title":"National Comparative Audit of Blood Transfusion","author":"NHS Blood and Transplant"},{"key":"e_1_2_8_6_1","volume-title":"Towards 100% Voluntary Blood Donation: A Global Framework for Action","author":"World Health Organization","year":"2010"},{"key":"e_1_2_8_7_1","unstructured":"World Health Organization \u201cBlood Safety and Availability \u201d2026 https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/blood\u2010safety\u2010and\u2010availability."},{"key":"e_1_2_8_8_1","volume-title":"Guide to the Preparation, Use and Quality Assurance of Blood Components","author":"Council of Europe","year":"2025"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1537\u20102995.2007.01481.x"},{"issue":"2","key":"e_1_2_8_10_1","first-page":"79","article-title":"Blood Donation and Altruism: The Mechanisms of Altruism Approach","volume":"18","author":"Ferguson E.","year":"2008","journal-title":"Transfusion Medicine"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tmrv.2008.02.005"},{"key":"e_1_2_8_12_1","first-page":"1","article-title":"Regulation (EU) 2024\/1938 on Standards of Quality and Safety for Substances of Human Origin","author":"European Union","year":"2024","journal-title":"Official Journal of the European Union"},{"issue":"3","key":"e_1_2_8_13_1","first-page":"908","article-title":"Prepare to Adapt: Blood Supply and Transfusion Support in a Changing World","volume":"59","author":"Pagano M. B.","year":"2019","journal-title":"Transfusion"},{"issue":"22","key":"e_1_2_8_14_1","first-page":"6411","article-title":"Demographic Changes: The Impact for Safe Blood Supply","volume":"117","author":"Greinacher A.","year":"2011","journal-title":"Blood"},{"key":"e_1_2_8_15_1","unstructured":"America's Blood Centers \u201cNew National Blood Donation Data Released Showing Shifts in Donors Patients and Emergency Care \u201d2024 https:\/\/americasblood.org\/press\u2010release\/new\u2010national\u2010blood\u2010donation\u2010data\u2010released\u2010showing\u2010shifts\u2010in\u2010donors\u2010patients\u2010and\u2010emergency\u2010care\/."},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/13591053251346387"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tmrv.2011.09.001"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.9185"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n830"},{"issue":"3","key":"e_1_2_8_20_1","first-page":"363","article-title":"SHOT, Haemovigilance and Improving Transfusion Safety","volume":"174","author":"Bolton\u2010Maggs P. H. B.","year":"2016","journal-title":"British Journal of Haematology"},{"key":"e_1_2_8_21_1","unstructured":"S.Narayan P. H. B.Bolton\u2010Maggs D.Poles et\u00a0al. \u201cThe 2024 Annual SHOT Report \u201d2025 https:\/\/www.shotuk.org\/shot\u2010reports\/annual\u2010shot\u2010report\u20102024\/."},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tmrv.2025.150936"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1182\/bloodadvances.2025018841"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1182\/bloodadvances.2025019441"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/vox.70236"},{"key":"e_1_2_8_26_1","unstructured":"Serious Hazards of Transfusion \u201cSHOT Transfusion Safety Standards Manchester. SHOT Steering Group \u201d2025 http:\/\/www.shotuk.org\/transfusion\u2010safety\/transfusion\u2010safety\u2010standards\/safety\u2010standards\/."},{"key":"e_1_2_8_27_1","volume-title":"Transfusion 2024: A Five\u2010Year Plan for Clinical and Laboratory Transfusion Practice","author":"National Blood Transfusion Committee","year":"2024"}],"container-title":["eJHaem"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jha2.70401","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jha2.70401","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jha2.70401","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T17:09:39Z","timestamp":1790615379000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jha2.70401"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,28]]},"references-count":26,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1002\/jha2.70401"],"URL":"https:\/\/doi.org\/10.1002\/jha2.70401","archive":["Portico"],"relation":{},"ISSN":["2688-6146","2688-6146"],"issn-type":[{"value":"2688-6146","type":"print"},{"value":"2688-6146","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,28]]},"assertion":[{"value":"2026-09-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70401"}}