In 1958, the American Association of Blood Banks introduced the first editi
on of Standards for Blood Banks and Transfusion Services. That same year, t
he association implemented the Inspection and Accreditation Program. This p
rogram served the association well for 40 years; however, factors such as t
he application of Current Good Manufacturing Practices by the Food and Drug
Administration, the implementation of the Clinical Laboratory Improvement
Amendments of 1988 by the Health Care Financing Administration, managed car
e, competition, and increased cost pressures have changed the way the blood
banking community conducts its business. In the early 1990s the board of d
irectors recognized the need to reevaluate the Inspection and Accreditation
Program and developed a strategic plan for implementation of a new accredi
tation program, with an emphasis on prevention rather than detection of err
ors. The first step in the process was the development of the Accreditation
Program Committee. The committee was charged to develop and coordinate a p
rogram that would bring the accreditation process in tune with the current
climate of blood banking and move it into the 21st century. The board charg
ed the committee with the development of a program that recognizes the diff
erences and similarities within the diverse groups of American Association
of Blood Banks institutional members and to take into consideration how the
y do business and respond to regulations, standards, and other requirements
.