Document Type : Original Article



Background: An audit is a written series of simple, direct questions, which when answered and
reviewed, tell whether the laboratory is performing its procedures, activities, and policies correctly
and on time. Aim: The aim of this study is to briefly highlight the importance of audit in blood bank
services. Materials and Methods: An Audit of Blood Bank Services was carried out in a Blood
bank of the tertiary care hospital, Central India by using the tool kit, (comprised of checklists)
developed by Directorate General of Health Services, Dhaka WHO, July 2008. Results: After going
through these checklists, we observed that there is no system for assessing the training needs
of staff in the blood bank. There was no provision for duty doctor’s room, expert room, medical
technologist room and duty care service. There was no checklist for routine check for observation
of hemolysis and deterioration of blood and plasma. There was no facility for separate private
interview to exclude sexual disease in the donor. Requisition forms were not properly filled for
blood transfusion indications. There was no facility for notification of donors who are permanently
deferred. There were no records documented for donors who are either temporarily or permanently
deferred on the basis of either clinical examination, history, or serological examination. It was
found that wearing of apron, cap, and mask was not done properly except in serology laboratory.
When the requisition forms for blood transfusions were audited, it was found that many requisition
forms were without indications. Conclusion: Regular audit of blood bank services needs to be
initiated in all blood banks and the results needs to be discussed among the managements,
colleagues, and staffs of blood bank. These results will provide a good opportunity for finding
strategies in improving the blood bank services with appropriate and safe use of blood.


1. Saran RK. Transfusion medicine technical manual. 2nd ed.
Directorate General of Health Services, Ministry of health and family
welfare, Government of India, New Delhi, India: WHO; 2003.
2. Dosunmu AO, Dada MO. Principles of blood transfusion service
audit. Afr J Med Sci 2005;34:349-53.
3. Smith JL. The quality audit handbook. Milwaukee, WI: ASQ Quality
Press; 1997.
4. Chevrolle F, Hadzlik E, Arnold J, Hergon E. Blood transfusion
audit methodology: The auditors, reference systems and audit
guidelines. Transfus Clin Biol 2000;7:559-62.
5. Musa SA, Hasan A. Develop toolkit for monitoring and quality assurance
of safe blood transfusion; Program Manager (BAN-BCT), WHO,
Directorate general of health services. Dhaka, Bangladesh: WHO; 2008.
6. Dhot PS. Amendments to Indian drugs and cosmetics act and rules
pertaining to blood banks in armed forces. Med J Armed Forces
India 2005;61:264-6