Quality and safety

  • Provision of blood products and their clinical use is a multi-step process with risk of error in each process. Particular safety considerations arise from the biological nature of the starting materials used, the manufacturing process involved, and the test methods needed to characterize the production consistency.
  • An effective quality system in the blood establishment provides a framework within which activities are established, performed in a quality-focused way and continuously monitored to improve outcomes. Quality systems are the key to ensuring the availability of safe blood for all patients needing transfusions.
  •  Harmonization on quality assurance and safety of blood products calls for a quality assurance system based on the existence of a national structure that is independent of the manufacturer and that is responsible for granting licenses for blood products, defining procedures for products release and for post-marketing surveillance systems.
  • GMP is a system for ensuring that products are consistently produced and controlled according to quality standards appropriate to their intended use and as required by the product specification. The implementation and enforcement of Good Manufacturing Practices (GMP) in Blood and Plasma Collection Establishments is a prerequisite for consistent quality in the preparation of blood and blood products, and a priority to minimize the risk of transmitting currently known and emerging blood-borne diseases.
  • It is a WHO priority to contribute to the advancement of technical expertise of National Regulatory Authorities and the formation of regulatory regional networks so that only blood products of assured quality and safety are used worldwide.

40%

of blood collected

is in high-income countries

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55 of 171

reporting countries

produce plasma-derived medicinal products (PDMP)

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18.5 Million

units of blood

are donated every year

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Events

Publications

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Action framework to advance universal access to safe, effective and quality-assured blood products 2020–2023

In response to calls for action, WHO has provided guidelines, physical standards, training and technical support to improve blood product quality, safety...

WHO Expert Committee on Biological Standardization. Sixty-ninth report

The WHO Expert Committee on Biological Standardization met in Geneva from 29 October to 2 November 2018. The meeting was opened on behalf of the Director-General...

Protecting the blood supply during infectious disease outbreaks: guidance for national blood services

This guidance document has been produced by WHO to assist blood services in the development of national plans to respond to any emerging infectious threats...

The appropriate clinical use of blood and blood products: information sheet for clinicians

Blood transfusion is an essential part of modern health care and has also demonstrated its efficacy in secondary health care in developing countries. Used...

Catalogue

Documents

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1 March 2004

WHO Guidelines on viral inactivation and removal procedures intended to assure the viral safety of human blood plasma products, Annex 4, TRS No 924

11 July 1995

Regulation and licensing of biological products in countries with newly developing Regulatory Authorities, Annex 1, TRS No 858

16 September 1992

Requirements for the collection, processing and quality control of blood, blood components and plasma derivatives, Annex 2, TRS No 840

16 September 1991

Guidelines for national authorities on quality assurance for biological products, Annex 2, TRS No 822

18 September 1990

Guidelines for assuring the quality of pharmaceutical and biological products prepared by recombinant DNA technology, Annex 3, TRS No 814

1 April 2020

Information Sheet: Ensuring the Quality and Safety of Plasma Derived Medicinal Products

20 September 1990

Aide-mémoire - Blood Products and Related Biologicals

20 September 1990

Information Sheet: Plasma Contract Fractionation Program

29 June 2001

Report on WHO Working Group on Biological Standardization of Unfractionated Heparin (Sept 1999)