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Canadian organ donation organizations’ donor audit processes: an environmental scan

Canadian journal of anesthesia, 2023-11, Vol.70 (11), p.1807-1815 [Peer Reviewed Journal]

The Author(s) 2023 ;2023. The Author(s). ;The Author(s) 2023. This work is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;ISSN: 0832-610X ;EISSN: 1496-8975 ;DOI: 10.1007/s12630-023-02584-2 ;PMID: 37853277

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  • Title:
    Canadian organ donation organizations’ donor audit processes: an environmental scan
  • Author: Zavalkoff, Samara ; O’Donnell, Shauna ; Karam, Isabela F. ; Lalani, Jehan ; Shemie, Sam D.
  • Subjects: Accountability ; Anesthesiology ; Audits ; Blood & organ donations ; Canada ; Cardiology ; Collaboration ; Critical care ; Critical Care Medicine ; Data collection ; Humans ; Intensive ; Interviews ; Medicine ; Medicine & Public Health ; Organ Transplantation ; Pain Medicine ; Patients ; Pediatrics ; Pneumology/Respiratory System ; Quality improvement ; Reports of Original Investigations ; Research centers ; Surveys and Questionnaires ; Tissue and Organ Procurement ; Tissue Donors ; Transplants & implants
  • Is Part Of: Canadian journal of anesthesia, 2023-11, Vol.70 (11), p.1807-1815
  • Description: Purpose Deceased donor audits (DAs) allow organ donation and transplantation systems to measure and analyze missed donation opportunities (MDOs). Missed donation opportunities can harm both patients/families denied the opportunity to donate and patients on transplant waitlists denied access to lifesaving organs. In Canada, there are no national standards for DAs, data analysis, nor accountability processes surrounding MDOs. Understanding DA current practice in each jurisdicton would facilitate developing a national strategy for DAs. Method All provincial organ donation organizations (ODOs) were invited to participate in an environmental scan (ES) of current DA practices. The two ES phases were an electronic survey followed by semistructured interviews. We collected information about the objectives, frequency, scope, data collection methodology, resources required, definitions/metrics used, and process for reporting outcomes. Results All eleven ODOs participated in both phases of the ES (July and October 2019). The primary purposes for conducting DAs were to estimate the following: 1) donor potential (5/11, 45%); 2) system performance at the provincial level (3/11, 27%); and 3) system performance at the hospital level (3/11, 27%). Frequency of DAs varied from weekly to annually, depending on the availability of death reports, urban vs rural setting, and staffing. High variability was observed in DA methodology, donor definitions, and metrics across jurisdictions. Conclusion There is significant variability across Canadian ODOs in the methodology, definitions, timeliness, data collection, and reporting of DAs. This underscores the need for a national donor audit strategy to reduce preventable harm from MDOs to patients/families at end of life and those on transplant waitlists.
  • Publisher: Cham: Springer International Publishing
  • Language: English
  • Identifier: ISSN: 0832-610X
    EISSN: 1496-8975
    DOI: 10.1007/s12630-023-02584-2
    PMID: 37853277
  • Source: Geneva Foundation Free Medical Journals at publisher websites
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    Springer OA刊

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