Successful models in organ procurement

Venettoni, Sante; Ciaccio, Paola Di; Ghirardini, Angelo; Mattucci, Dino Alberto; Santangelo, George M.; Costa, Alessandro Nanni

doi:10.1016/s0041-1345(03)00271-9

Cited by 4 publications

(4 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We defined the OTDC role as a trained professional dedicated to managing the entirety of the organ donation process, represented either in the role of the OTDC or a transplant coordinator, an attribute we identified in 32 papers. 23,25,35,36,38,40-42,57,59-62,64,68,73,74,79,80,82,84,85,94,97,103,107,108,111,113-116 Five articles mentioned physicians filling the role, 57,61,62,80,94 and 10 in which nurses did, 40,41,60,61,108,111,113-116 but 18 articles did not specify the coordinator’s profession. 23,25,35,36,38,42,59,64,68,73,74,79,82,84,85,…”

Section: Themes and Discussionmentioning

confidence: 99%

“…23,25,35,36,38,42,59,64,68,73,74,79,82,84,85,97,103,107 Leadership is key in organ donation success. The role of a full-time transplant coordinator benefits organ donation rates’ increase 41,42,57,59,62,73,74,80,84,94,97,107,108,111,113-115 because the coordinator’s expertise in liaising between hospital staff and ODOs 36 allows early identification of potential organ donors 25 and increases the quality and safety of organs retrieved. 61 In addition, not only are families more satisfied with the donation process in the presence of an OTDC, 82 but also studies support and recommend the role.…”

Section: Themes and Discussionmentioning

confidence: 99%

“…75 Team approach. In 17 papers 26,35,36,38,39,42,52,61,62,71,74,[76][77][78][79][80] we identified this attribute that included the involvement of intensive care unit (ICU) teams and organ donation coordinators in the donation process. Ongoing collaboration among hospital and ODO staff is considered key to the success of various donation programs.…”

Section: Table 3 (Continued)mentioning

confidence: 99%

“…35,42,74 Performance of organ donation programs depends on effective communication and a working relationship between the organ donor coordinator and hospital staff for joint and shared work. 71,80 Ideally, a horizontal relationship working jointly toward improving the donation process should recognize the value of each team member's contribution, integrate activities, and give staff responsibilities and autonomy in decision-making. 38,77 Quality improvement.…”

Section: Table 3 (Continued)mentioning

confidence: 99%

See 3 more Smart Citations

Defining Quality Criteria for Success in Organ Donation Programs: A Scoping Review

Silva

Schirmer

Roza

et al. 2021

Can J Kidney Health Dis

View full text Add to dashboard Cite

Background: Well-established performance measures for organ donation programs do not fully address the complexity and multifactorial nature of organ donation programs such as the influence of relationships and organizational attributes. Objective: To synthesize the current evidence on key organizational attributes and processes of international organ donation programs associated with successful outcomes and to generate a framework to categorize those attributes. Design: Scoping Review using a mixed methods approach for data extraction. Setting: Databases included PubMed, CINAHL, Embase, LILACS, ABI Business ProQuest, Business Source Premier, and gray literature (organ donation association websites, Google Scholar—first 8 pages), and searches for gray literature were performed, and relevant websites were perused. Sample: Organ donation programs or processes. Methods: We systematically searched the literature to identify any research design, including text and opinion papers and unpublished material (research data, reports, institutional protocols, government documents, etc). Searches were completed on January 2018, updated it in May 2019, and lastly in March 2020. Title, abstracts, and full texts were screened independently by 2 reviewers with disagreements resolved by a third. Data extraction followed a mixed method approach in which we extracted specific details about study characteristics such as type of research, year of publication, origin/country of study, type of journal published, and key findings. Studies included considered definitions and descriptions of success in organ donation programs in any country by considering studies that described (1) attributes associated with success or effectiveness, (2) organ donation processes, (3) quality improvement initiatives, (4) definitions of organ donation program effectiveness, (5) evidence-based practices in organ donation, and (6) improvements or success in such programs. We tabulated the type and frequency of the presence or absence of reported improvement quality indicators and used a qualitative thematic analysis approach to synthesize results. Results: A total of 84 articles were included. Quantitative analysis identified that most of the included articles originated from the United States (n = 32, 38%), used quantitative approaches (n = 46, 55%), and were published in transplant journals (n = 34, 40.5%). Qualitative analysis revealed 16 categories that were described as positively influencing success/effectiveness of organ donation programs. Our thematic analysis identified 16 attributes across the 84 articles, which were grouped into 3 categories influencing organ donation programs’ success: context (n = 39, 46%), process (n = 48, 57%), and structural (n = 59, 70%). Limitations: Consistent with scoping review methodology, the methodological quality of included studies was not assessed. Conclusions: This scoping review identified a number of factors that led to successful outcomes. However, those factors were rarely studied in combination representing a gap in the literature. Therefore, we suggest the development and reporting of primary research investigating and measuring those attributes associated with the performance of organ donation programs holistically. Trial Registration: Not applicable.

show abstract