Effective Application of a Quality System in the Donation Process at Hospital Level

Trujnara, M.; Czerwiński, Jarosław; Osadzińska, J.

doi:10.1016/j.transproceed.2016.01.050

Cited by 6 publications

(4 citation statements)

References 1 publication

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“…In the scientific literature concerning constraints of organ donation in patients with diagnosed brain death ( 12 , 13 ), several main factors can be found, such as inadequate hospital or ICU funding systems, a lack of health care professionals, a poor identification of the staff with their workplace, different employment forms, reluctance to make difficult choices, fear of failure in contacts with the patient's family. All those reasons are observed and noted in most of the health care systems ( 14 ).…”

Section: Discussionmentioning

confidence: 99%

“A Comparative Analysis of the Number of Organ Retrievals in Relation to Potential Donation Qualifications in Populations of Patients From a Single Anesthesiology and Intensive Care Unit in 2017-2018”

et al. 2022

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The population of patients declared as brain dead and qualified for organ donation is relatively low in Poland. The main causes of brain death include cerebral vascular diseases and brain trauma (54 and 34%, respectively, according to Poltransplant registry data). The number of organ procurements in Poland is constantly recorded on average at 14 donations per 1 million citizens (14/mln) in 2017 and 12 donations per one million in 2018. It is difficult to precisely define the number of patients who meet the criteria for brain death certification. The authors have retrospectively analyzed the medical data of 229 patients from 2017 and 2018 records with the aim of identifying potential organ donors among patients of the Intensive Care Unit (ICU) in the University Hospital in Western Poland. Brain death was suspected in 53 patients (23.14%). Brain imaging to confirm no cerebral flow (which is consistent with brain death) was performed in 17 patients (7.45%) and this, as a result, led to organ donation in 9 cases (3.93%). The factors identified as having a positive influence on organ donation included: daily thorough physical examination, (Glasgow Coma Scale) GCS assessment, depth and duration of sedation, ICU length of stay and early performance of a CT-angiogram.

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Section: Discussionmentioning

confidence: 99%

“A Comparative Analysis of the Number of Organ Retrievals in Relation to Potential Donation Qualifications in Populations of Patients From a Single Anesthesiology and Intensive Care Unit in 2017-2018”

et al. 2022

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“…A retrospective analysis of hospitalizations and deaths was conducted using indicators for assessing the potential for organ donation from deceased donors and rates of program efficiency [10]. The actual donation activity of a hospital was calculated according to the methodologies of the "Improving the Knowledge and Practices in Organ Donation" (DOPKI) European Commission project and the Organ Donation European Quality System (ODEQUS) program [3,4]. Both hospital-scale and ICU-scale indices applicable to deceased donor detection and organ donation were calculated in QUALY+ and QUALY-groups.…”

Section: Methodsmentioning

confidence: 99%

“…Organ transplantation is a preferred method for treating endstage organ failure. Insufficient numbers of organ donors and an ever-increasing number of wait-listed recipients fuel universal organ scarcity [1][2][3][4][5]. The organ shortage problem is further magnified by non-identification of potential donors, aging of the population, and increased incidence of lifestyle diseases such as hypertension, obesity, and diabetes, as well as objections to donation.…”

Section: Introductionmentioning

confidence: 99%

“…Some hospitals have implemented procedures for potential donor identification, brain death diagnosis, donor care, authorization of donation (including taking to donor's family), coordination of organ retrieval, and cooperation with the transplant center and the Poltransplant, as well as education and audits. These procedures were shown to result in higher rates of organ donations from deceased donors [12].…”

Section: Introductionmentioning

confidence: 99%

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Effect of the Organ Donation Quality System on Donation Activity of Warsaw Hospitals

Karpeta,

Godlewska,

Małkowski

et al. 2024

Ann Transplant

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Background:Like many other countries, Poland faces a shortage of transplantable organs despite implementing strategies to develop donation programs. Increasing the effectiveness of deceased organ donation programs requires the implementation of protocols and quality standards for the entire process. The aim of this study was to assess the organ donation potential in Warsaw hospitals (with and without implemented donation procedures) in the years 2017-2018, before the COVID-19 pandemic affected donation activity. The obtained results were compared with quality indicators established in the ODEQUS project and the European Commission project "Improving Knowledge and Practices in Organ Donation" (DOPKI). Material/Methods:Retrospective analysis was performed of hospitalization and death causes (including deaths in the brain death mechanism) in the hospitals and intensive care units in 2017-2018. We divided 15 Warsaw hospitals into 2 groups: those with implemented quality programs for organ donation (n=4) and those without such programs (n=11). Results:Hospitals with procedures obtained significantly higher values than hospitals without procedures, but were lower than the values in DOPKI and ODEQUS. The success rate of the organ donation process after brain death recognition was comparable in all groups. The conversion rate to actual donors was 73% in hospitals with procedures compared to 68% in hospitals without procedures, significantly higher than in the 42% reported in the DOPKI project. Conclusions:Low numbers of brain death declarations in Warsaw hospitals result from low recognition of deaths in the brain death mechanism. Implementing procedures at each hospital level will enable identification of critical points and comparison of solution outcomes.

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Hospital Profiling and Hospital Stratification System as a Step for Assessment the Potential of Organ Donation From Deceased Donors

Danek¹,

Czerwiński

Brutkiewicz

et al. 2018

Transplantation Proceedings

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Effective Application of a Quality System in the Donation Process at Hospital Level

Cited by 6 publications

References 1 publication

“A Comparative Analysis of the Number of Organ Retrievals in Relation to Potential Donation Qualifications in Populations of Patients From a Single Anesthesiology and Intensive Care Unit in 2017-2018”

“A Comparative Analysis of the Number of Organ Retrievals in Relation to Potential Donation Qualifications in Populations of Patients From a Single Anesthesiology and Intensive Care Unit in 2017-2018”

Effect of the Organ Donation Quality System on Donation Activity of Warsaw Hospitals

Hospital Profiling and Hospital Stratification System as a Step for Assessment the Potential of Organ Donation From Deceased Donors

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