Pre-analytical mistakes have previously been proven to contribute a considerable fraction of laboratory errors and to a variety of patient safety hazards. Accreditation against ISO 15189:2012 requires laboratories to assess the influence of pre-analytical procedures in areas such as non-conformance identification and control, continuous improvement, internal audit, and quality indicators. Introduction: There are several data gathering methods. Audit, manual recording techniques, incident reporting mechanisms, and laboratory information systems are some of the data gathering methods available. Material and methods: Samples received at Biochemistry collection Centre of Rama medical college hospital and research Centre. To compile data on critical errors, a database was designed to record the errors occurring in the laboratory, when pre-analytical requests are manually entered into the software Results:- The Runs Test was applied to assess changes in the trend of the series, assuming statistical significance at P < 0.050. To determine the annual volume of requests and statistically significant indicators according to the Runs Test, the base 100 index was calculated with respect to the year. Conclusions: This study offers a comprehensive, patient-centered examination of the extent of pre-analytical mistakes, in compliance with the standards of the International Standard for the certification of medical labs, integrating all sub-processes and individuals engaged in the pre-analytical process |