[Management and evolution of French blood establishment (EFS) laboratories' accreditation]

The French Committee of Accreditation (COFRAC) is the independent organism, internationally acknowledged, that authenticate the competences of the medical biology analysis laboratories, which volunteer for the accreditation. The main EFS laboratories are candidates for this recognition of their competences by the Cofrac, according to the ISO/CEI 17025 standard and its documents of application. A national project at horizon 2009 has been elaborated, involving internal resources from every part of the establishment. This is a constructive approach lays the foundations of a methodology of initial and continuous control of analysis methods, which meets the automation and computerization requirements. It highlights gaps as many as new orientations opening the way at for developments and a concerted harmonization of the practices harmonization.