Resetting Healthcare Services During the Coronavirus disease 2019 Pandemic: A Multi-disciplinary Team Approach to Delivering Kidney Transplantation

O’Neill, Stephen; Brown, Tim; McCaughan, Jennifer; Magowan, Hannah; Courtney, Aisling E.

doi:10.1002/bjs.11951

Cited by 6 publications

(4 citation statements)

References 4 publications

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“…Thereafter, the activity progressively recovered, and expert professionals have adapted the programs to the new reality. [31][32][33][34] One of the most important concerns of professionals responsible of kidney transplant (KT) programs the need for a safe KT given the indisputable evidence that there are alternative renal replacement treatment techniques, such as peritoneal dialysis and hemodialysis, that allow transplantation to be deferred and done in maximum safety conditions. The fact that RT is the most favorable option of RRT with the best rehabilitation and greater survival 34 may not justify the risk of reducing safety of the procedure, in an epidemiological pandemic scenario (Table 1 As recommended by ONT to guarantee the protection of patients on the waiting list, patients will undergo an exhaustive medical history inquiring about contact with suspected or confirmed cases, or if there is any symptoms compatible with COVID-19.…”

Section: Safety Of Kidney Transplantsmentioning

confidence: 99%

Trasplante renal después de una COVID-19

Pascual¹

2021

Nefrología

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Section: Safety Of Kidney Transplantsmentioning

confidence: 99%

Trasplante renal después de una COVID-19

Pascual¹

2021

Nefrología

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“…The team accepted organs that otherwise might have gone unused because most centres were closed. As a result, the renal transplant team in NI performed 70 transplants in 61 days during the first wave of the COVID-19 pandemic 1. This represented an eightfold increase in typical activity 1…”

Section: Introductionmentioning

confidence: 99%

“…As a result, the renal transplant team in NI performed 70 transplants in 61 days during the first wave of the COVID-19 pandemic 1. This represented an eightfold increase in typical activity 1…”

Section: Introductionmentioning

confidence: 99%

Seven leadership and followership lessons from kidney transplantation during lockdown

Joffe

O’Neill

Ahmed

et al. 2023

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BackgroundThe renal transplant team in Northern Ireland performed 70 transplants in 61 days during the first wave of COVID-19, an 8-fold increase in their typical activity. Mobilising diverse professional skills to achieve this number, especially under COVID-19 conditions, required extraordinary effort on the part of everyone involved along the transplant patient pathway, management and staff from other patient groups.MethodsFifteen transplant team members were interviewed to explore their experiences during this time.ResultsSeven key leadership and followership lessons, contextualised within The Healthcare Leadership model, were learnt from these experiences.ConclusionsWhile circumstances were untypical, the achievement and motivation of staff were no less commendable. We contend that this was not only because of the unusual circumstances but as a result of extraordinary leadership and followership, teamworking and individual agility.Recommendations for those leading services which require a quick response and collaborative effort are made.

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“…During the crisis, a multidisciplinary approach could help develop an effective surgical scheduling strategy 2 . Other recommendations have been proposed to offset the negative impact on surgical service recovery 3 .…”

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confidence: 99%