Analysis and prevention strategies for abnormal blood waste events in blood collection and supply processes
10.13303/j.cjbt.issn.1004-549x.2026.08.010
- VernacularTitle:采供血过程中异常血液报废事件的分析与防控对策研究
- Author:
Kaiqiang LIU
1
;
Huayou DAI
2
;
Minyu HUA
3
;
Tingting HU
2
;
Weifei QIN
2
;
Jixia ZHOU
4
;
Xiaojing LIU
5
;
Huaying CAI
6
;
Chenghui LUO
7
;
Shoubing ZHU
8
;
Yanhua SHI
9
;
Xi DENG
10
;
Xia HUANG
11
Author Information
1. Wenshan Zhuang and Miao Autonomous Prefecture Central Blood Station, Wenshan 663099, China; Working Party on Haemovigilance, Chinese Society of Blood Transfusion, Beijing 100088, China
2. Chongqing Blood Center, Chongqing 400052, China
3. Wuxi Central Blood Station, Wuxi 214000, China
4. Urumqi Blood Center, Urumqi 830000, China; Working Party on Haemovigilance, Chinese Society of Blood Transfusion, Beijing 100088, China
5. Mianyang Central Blood Station, Mianyang 621000, China
6. Zigong Central Blood Station, Zigong 643000, China
7. Wanzhou Central Blood Station, Wanzhou 404000, China
8. Shaoxing Central Blood Station, Shaoxing 312000, China
9. Xiangyang Central Blood Station, Xiangyang 441000, China
10. Neijiang Central Blood Station, Neijiang 641000, China
11. Chongqing Blood Center, Chongqing 400052, China; Working Party on Haemovigilance, Chinese Society of Blood Transfusion, Beijing 100088, China
- Publication Type:Journal Article
- Keywords:
haemovigilance;
abnormal blood wastage;
blood collection and supply;
cold chain management;
standardized operating procedures
- From:
Chinese Journal of Blood Transfusion
2026;39(8):1061-1066
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To analyze the characteristics and key risk factors of abnormal blood disposal throughout the 2024-2025 blood collection and supply process based on nationwide multi-site monitoring data, develop a comprehensive prevention and control strategy across the entire chain, reduce preventable blood waste, and ensure clinical blood safety. Methods: According to the Guidelines for Haemovigilance (T/CSBT 001-2026), we extracted 74 cases of abnormal blood disposal events reported by the China Blood Transfusion Association′s Blood Safety Monitoring System from January 1 2024, to December 31 2025, and conducted descriptive statistical analysis on the distribution of events, types of deviations, root causes, and classifications of disposal manifestations. Results: A total of 664 adverse events related to blood collection and supply were reported over two years, with 74 cases involving discarded abnormal blood units, accounting for 11.1% of the total. Among these, blood component preparation (40.5%) and blood collection (37.8%) remained traditional high-risk stages. The proportion of blood waste occurring during storage, distribution, and transportation increased from 7.7% in 2024 to 34.3% in 2025. Deviations from standard operating procedures (SOP) by personnel were the primary cause, accounting for 74.3% of cases. Discarded blood units were categorized into four types: compromised closed blood bag systems (40 cases), mainly due to inadequate heat sealing, physical damage, or dropped bags; blood out of the cold chain (12 cases), primarily resulting from blood being left at work sites; imbalanced proportion of preservation solution (10 cases), mostly caused by blood collection volumes exceeding the standard capacity of blood bags; and other causes (12 cases). Conclusion: Human operational errors are the core cause of abnormal blood waste. The collection and preparation stages have long been at high-risk, and the risks in the storage and transportation stages have been increasing year by year. We should focus on standardizing personnel management, improving specialized operation norms such as heat sealing, transportation, and storage, establishing a full-process intelligent cold chain monitoring and multi-node visual verification mechanism, and systematically reducing the occurrence rate of abnormal blood waste through a closed-loop quality intervention system, thereby improving the utilization efficiency of voluntary blood donation resources.
