Manipal Journal of Medical Sciences


The process of blood collection should be carried out by trained health care personnel so as to reduce the adverse effects on donors and improve the quality of blood components. This is also important in preventing laboratory errors and injury to the health care personnel. This study was carried out to observe nonconformities in the process of whole blood, apheresis and blood sample collection at our centre, so as to improvise the practices. The data was collected on 5000 whole blood donations, 100 apheresis procedures and 500 blood samplings for screening prior to apheresis. It was analyzed for the frequency of nonconformities. Several nonconformities were noticed in the processes of donor identification, phlebotomy procedure, implementation of biosafety measures and management of adverse donor reactions. The nonconformities were found more in whole blood donations when compared to apheresis screening and procedure. Through the results of this study, we were able to identify the areas that were most vulnerable for deviations and nonconformities. Thereafter, we framed a relevant and targeted competency training program which reinforced personnel’s understanding of the importance of various steps in the process of blood collection. Subsequently, there was a substantial reduction in the nonconformities at our blood donation centre