中国输血杂志2026，Vol.39Issue(8)：1061-1066,6.DOI:10.13303/j.cjbt.issn.1004-549x.2026.08.010
采供血过程中异常血液报废事件的分析与防控对策研究
Analysis and prevention strategies for abnormal blood waste events in blood collection and supply processes
摘要
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,ac-counting 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 ca-ses),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,transpor-tation,and storage,establishing a full-process intelligent cold chain monitoring and multi-node visual verification mecha-nism,and systematically reducing the occurrence rate of abnormal blood waste through a closed-loop quality intervention sys-tem,thereby improving the utilization efficiency of voluntary blood donation resources.关键词
血液安全监测/异常血液报废/采供血/冷链管理/标准化操作Key words
haemovigilance/abnormal blood wastage/blood collection and supply/cold chain management/standard-ized operating procedures分类
医药卫生引用本文复制引用
刘开强,朱守兵,释艳华,邓曦,黄霞,代华友,华敏玉,胡婷婷,秦伟斐,周吉霞,刘小婧,蔡华英,骆成辉..采供血过程中异常血液报废事件的分析与防控对策研究[J].中国输血杂志,2026,39(8):1061-1066,6.基金项目
中国输血协会圣湘输血医学发展基金(CSBT-SX-2024-01). （CSBT-SX-2024-01）
