Abstract
Transfusion medicine in South Tyrol is organized according to the recommendations of the Council of Europe and the Italian transfusion law. The transfusion system is centralized and consists of one regional competence center and further six hospital-based transfusion sections. Blood donations are carried out in all sections; the processing of blood components is performed in the regional transfusion center. All sections are equipped with a defined amount of blood components, and they all perform blood group typing as well as indirect Coombs testing. Special analyses are carried out in the regional transfusion center exclusively. A nationwide voluntary association manages recruitment and coordination of blood donors. Donors are exclusively voluntary and non-remunerated. Selection and testing of donors is based on Italian and European guidelines. Local committees ensure the safety of the clinical use of blood and derivatives in each hospital.