New England Surgical Society (NESS)
Search NESS
  Home
  Annual Meeting
  Annual Resident and Fellow Research Day
  Members
      Member Directory
      Members Only
  Scholars Foundation
  Job Board
  Awards
  Journal of the American College of Surgeons
  Newsletters
  Committees
  Contact NESS

NESS 2006 Annual Meeting
Back to Scientific Program
Back to Annual Meeting


Increased Organ Donation and Organ Donor Conversion Rate at a Tertiary Care Urban Hospital With a Free-Standing Transplant Program by Implementing a Multifaceted Program of Known Best Practices
Judith L Pepe, Jami Tyska, Orlando C Kirton, Michael E Ivy
Hartford Hospital, Connecticut, CT

Objective: To improve referral timeliness of potential organ donors, organ donor conversion rate and organs transplanted per donor through best practice changes to multiple processes inherent in organ donation.
Design: Retrospective review of hospital specific data collected by the local organ procurement organization (OPO).
Setting: ICUs at an acute tertiary-care urban teaching hospital
Patrticipants: 985 ICU patients referred to OPO from September 2003 through December 2005 and 94 eligible organ donors from January 2003 through December 2005.
Interventions: In October 2003, implemented best practices including placement of a referral clinical "trigger"card and donor management guidelines at each ICU bedside, daily on-site ICU rounds between OPO coordinators and nurse managers to identify potential organ donors, identification of a physician champion, after action reviews with ICU staff following each donation referral, mandatory pre-approach conference with the health care team, ICU attending physician involvement in donor management, and the establishment of an organ donation committee.
Main Outcome Measures: 1) Timeliness of referral of potential organ donors, 2) Organ donor conversion rate, and 3) Mean number of organs transplanted per donor.
Results: All outcome measures improved from 2003 to 2004. Improvement was maintained in 2005. The changes from 2003 to 2004 were statistically significant for timeliness (p<.0001) and conversion rate (p<.002), but not for organs per donor.
Conclusions: Reengineering of hospital systems based on known best practices inherent in the organ donation process is instrumental in organ donor referral timeliness and conversion rate.


Back to Scientific Program
Back to Annual Meeting

Copyright © 2018 New England Surgical Society. All Rights Reserved.
Read Privacy Policy.