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Quality lab reports require high degree of precision and accuracy. This study was undertakento study pre-analytical errors as a quality measure in Central Clinical Laboratories of rural Tertiary CareHospital.Materials and Methods: This study was a non-participatory observational study for a period of twomonths from 6/7/2019 to 6/9/2019 conducted at HIMS, UP, India. After obtaining clearance fromInstitutional Human Ethical committee, study was undertaken in Central Clinical Laboratory(CCL). Theblood samples of OPD and IPD were included. Checklist for pre-analytical errors was followed.Results: Total 13604 blood samples were received in CCL in study periodand pre-analytical error wasfound to be 398 (2.93%). The commonest error was inadequate (underfilled/Overfilled) samples(1.15%),second commonest was Clotted sample (0.99%), Hemolyzed samples were 0.26%, Lipemic samples were0.15%, and remaining were diluted sample, incorrect vaccutainer and sample spillage each accounted for0.08%, followed by test ID form missing (0.06%) and specimen ID and order form mismatch (0.02%).There was a statistical difference between pre-analytical errors in IPD(3.68%) and OPD(0.87%) sampleswith p value less than Conclusion: Pre-analytical errors are avoidable and could be manage by preventive and correctivemeasures and proper education and skill enhancing training to paramedical staff and efficient monitoringby Lab managers.Keywords: Blood samples, Central clinical laboratory, Pre-analytical errors.

An audit of Preanalytical errors as a quality measure in central clinical laboratory of Rural Tertiary Care Hospital in Eastern Uttar Pradesh