Increasing referrals and donations using the Transplant Center Development Model

Gravel, Mark T.; Szeman, Penelope

doi:10.7182/prtr.1.6.1.21425006q0r60925

Cited by 13 publications

(6 citation statements)

References 2 publications

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“…These modules correspond to the five major steps in the donation process and are used to effect changes in one or more specific areas of the process: donor identification, donor referral, family care and communication, donor Wight et al: The Donor Action Program lOS organ maintenance, and retrieval (Fig 1). Implementation of DA is divided into several phases: (1) gaining hospital support, (2) performing the diagnostic review, (3) program tailoring, (4) introducing the core program modulets), (5) monitoring and evaluating progress, and (6) program management.…”

Section: Program Design and Methodologymentioning

confidence: 99%

“…Only the introduction of specifically trained staff responsible for organ donation, working in the hospitals at the "grass roots" has proven to be consistently effective [2]. Estimates are that the average hospital misses about one-third of its potential for organ donation mainly because not all donors are identified and many families are not presented with the option of donation [3][4][5][6][7].…”

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Donor Action: A Quality Assurance Program for Intensive Care Units That Increases Organ Donation

Wight

Cohen

Roels

et al. 2000

J Intensive Care Med

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Donor Action (DA) is an international initiative that helps intensive care units (ICUs) improve donation. Existing best practices from around the world have been incorporated into this quality assurance program. Following a validated diagnostic review, areas of weakness in donation practices are identified and the appropriate changes introduced. Corrective measures have been developed in the form of five “core” program modules which correspond to critical steps in the donation process and can be used together or alone according to specific identified needs. Medical records review (MRR) and hospital attitude surveys (HAS) were performed in 11 ICUs in Spain (2), The Netherlands (2), the United Kingdom (1), and Canada (6). Baseline data were gathered on the units potential for donation, staff attitudes toward donation, and self-reported skills/confidence in performing a range of donation roles. Analysis of these data were used to customize the program to individual ICU requirements. MRR data from 579 cases showed a 69% (398) potential for donation from which only 31% (124) were realized. Detection and management failures (166; 42%) and refusal to donate (104; 26%) were the major reasons for loss of potential donors. The HAS returns from staff (2,129) showed consistently strong perceptions that organ donation saves lives (97%). Support for donation (94%) and willingness to donate their own organs (79%) were high in all country samples. Ratings of skills/confidence were highest for comforting the family (70%), with much lower comfort levels reported on explaining brain death (44%), introducing organ donation (38%), and presenting a family with the option for donation (31%). Following introduction of the appropriate program modules, a sustained (2–year) effect of a 33% increase in donation rates is demonstrated. The Donor Action HAS and MRR are useful tools in identifying problems within the donation process and lead to the introduction of improvement strategies integral to the Donor Action program that result in an increase in organ donation.

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Section: Program Design and Methodologymentioning

confidence: 99%

mentioning

confidence: 99%

Donor Action: A Quality Assurance Program for Intensive Care Units That Increases Organ Donation

Wight

Cohen

Roels

et al. 2000

J Intensive Care Med

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“…(Progress in Transplantation. 2001;11:90-97) Donor Action: an international initiative to alleviate organ shortage donation practices and procurement, 24 or, more specifically, so-called dedicated requestors and in-house coordinators, 25 the introduction of medical record reviews as a tool to estimate donor potential and outcomes of potential cases, 26 the systematic introduction of donation protocols in hospitals, 2,27,28 and the introduction of training programs for healthcare professionals dealing with the different steps in the donation pathway. [29][30][31] Although these initiatives may help increase donation initially, again, few appear to have been sufficient to make a sustained and significant impact on the supply of donor organs.…”

Section: Review Of the Literaturementioning

confidence: 99%

Donor Action: An International Initiative to Alleviate Organ Shortage

Roels¹,

Wight²

2001

Prog Transpl

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Following introduction of the program's improvement measures, which addressed identified weaknesses, donations increased on average by 53% (P = .0017) per country at 1 year. Sustained improvements settled at 70% to 160% increases at 3 years. Although Donor Action is at various stages of implementation in different countries, the number of centers and countries demonstrating an immediate awareness effect is increasing and sustained effects in centers with the longest follow-up promise a significant impact on donation rates as more countries implement this methodology.

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“…Only the introduction of specifically trained staff responsible for organ donation, working in the hospitals at the “grass roots” has proven to be consistently effective [2]. Estimates are that the average hospital misses about one‐third of its potential for organ donation mainly because not all donors are identified and many families are not presented with the option of donation [3–7].…”

mentioning

confidence: 99%

Donor Action: A Quality Assurance Program for Intensive Care Units that Increases Organ Donation

Wight

Cohen

Roels

et al. 2000

J Intensive Care Med

View full text Add to dashboard Cite

Donor Action (DA) is an international initiative that helps intensive care units (ICUs) improve donation. Existing best practices from around the world have been incorporated into this quality assurance program. Following a validated diagnostic review, areas of weakness in donation practices are identified and the appropriate changes introduced. Corrective measures have been developed in the form of five “core” program modules which correspond to critical steps in the donation process and can be used together or alone according to specific identified needs. Medical records review (MRR) and hospital attitude surveys (HAS) were performed in 11 ICUs in Spain (2), The Netherlands (2), the United Kingdom (1), and Canada (6). Baseline data were gathered on the units potential for donation, staff attitudes toward donation, and self‐reported skills/confidence in performing a range of donation roles. Analysis of these data were used to customize the program to individual ICU requirements. MRR data from 579 cases showed a 69% (398) potential for donation from which only 31% (124) were realized. Detection and management failures (166; 42%) and refusal to donate (104; 26%) were the major reasons for loss of potential donors. The HAS returns from staff (2,129) showed consistently strong perceptions that organ donation saves lives (97%). Support for donation (94%) and willingness to donate their own organs (79%) were high in all country samples. Ratings of skills/confidence were highest for comforting the family (70%), with much lower comfort levels reported on explaining brain death (44%), introducing organ donation (38%), and presenting a family with the option for donation (31%). Following introduction of the appropriate program modules, a sustained (2‐year) effect of a 33% increase in donation rates is demonstrated. The Donor Action HAS and MRR are useful tools in identifying problems within the donation process and lead to the introduction of improvement strategies integral to the Donor Action program that result in an increase in organ donation.

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Increasing referrals and donations using the Transplant Center Development Model

Cited by 13 publications

References 2 publications

Donor Action: A Quality Assurance Program for Intensive Care Units That Increases Organ Donation

Donor Action: A Quality Assurance Program for Intensive Care Units That Increases Organ Donation

Donor Action: An International Initiative to Alleviate Organ Shortage

Donor Action: A Quality Assurance Program for Intensive Care Units that Increases Organ Donation

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