Utilizing Research to Implement a System of Routine Referral of Potential Tissue Donors from the Emergency Department

2.50
Hdl Handle:
http://hdl.handle.net/10755/162786
Type:
Presentation
Title:
Utilizing Research to Implement a System of Routine Referral of Potential Tissue Donors from the Emergency Department
Abstract:
Utilizing Research to Implement a System of Routine Referral of Potential Tissue Donors from the Emergency Department
Conference Sponsor:Emergency Nurses Association
Conference Year:1998
Author:McQuay, Jacqueline E., RN MS
P.I. Institution Name:Hartford Hospital
Contact Address:, Hartford, CT, USA
Clinical Topic: The purpose of this project was to provide a system of behavioral change in the emergency department (ED) regarding the identification and referral of potential tissue donors by assuring that the information about potential donors is shared with those who are in a position or have reason to act on it. Lack of donor recognition and referral to an Organ Procurement Organization (OPO) by medical professionals is a primary factor limiting the supply of organs and tissues for transplantation. Death Record Reviews (DRR) have shown that there are a substantial number of missed donor opportunities at one large urban Level 1 Trauma Center, specifically asystolic tissue donors from the ED.

Implementation: Current ED practice regarding donor identification and referral was evaluated in three areas: (a) completion of hospital Death Notice form, (b) documentation that families were given the option of donation in medically suited cases, and (c) number of donor referrals made to the OPO and was compared retrospectively to DRR outcome data from 1991, 1992, 1995, and the first six months of 1996. Based on the evaluation of this data, a project was developed and implemented in four phases in the ED. The project included a pretest of knowledge and attitudes about donation. The results will be compared to a post-test to be given at a later time.

Outcomes: In the first six months of the project, a system of Routine Referral of potential tissue donors from the ED at one large urban Level 1 Trauma Center has resulted in a 594% increase of the number of tissue donor referrals compared to the number of ED deaths; a 364% increase in the number of families who were offered the option of donation, and a 180% increase in the number of actual tissue donors. DRR demonstrated a 740% decrease in the number of missed donor referrals and a 16-fold increase in the number of ED charts with correct documentation regarding donation.

Recommendations: When potential donor families have their legal rights concerning donor decisions protected and addressed in a systematic and sensitive manner by ED staff, more tissue is available for transplantation and research, and there is improved compliance with MCAHO standards and hospital policy concerning organ and tissue donation. [Clinical Poster Presentation]
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleUtilizing Research to Implement a System of Routine Referral of Potential Tissue Donors from the Emergency Departmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/162786-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Utilizing Research to Implement a System of Routine Referral of Potential Tissue Donors from the Emergency Department</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">1998</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">McQuay, Jacqueline E., RN MS</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Hartford Hospital</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">, Hartford, CT, USA</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: The purpose of this project was to provide a system of behavioral change in the emergency department (ED) regarding the identification and referral of potential tissue donors by assuring that the information about potential donors is shared with those who are in a position or have reason to act on it. Lack of donor recognition and referral to an Organ Procurement Organization (OPO) by medical professionals is a primary factor limiting the supply of organs and tissues for transplantation. Death Record Reviews (DRR) have shown that there are a substantial number of missed donor opportunities at one large urban Level 1 Trauma Center, specifically asystolic tissue donors from the ED.<br/><br/>Implementation: Current ED practice regarding donor identification and referral was evaluated in three areas: (a) completion of hospital Death Notice form, (b) documentation that families were given the option of donation in medically suited cases, and (c) number of donor referrals made to the OPO and was compared retrospectively to DRR outcome data from 1991, 1992, 1995, and the first six months of 1996. Based on the evaluation of this data, a project was developed and implemented in four phases in the ED. The project included a pretest of knowledge and attitudes about donation. The results will be compared to a post-test to be given at a later time.<br/><br/>Outcomes: In the first six months of the project, a system of Routine Referral of potential tissue donors from the ED at one large urban Level 1 Trauma Center has resulted in a 594% increase of the number of tissue donor referrals compared to the number of ED deaths; a 364% increase in the number of families who were offered the option of donation, and a 180% increase in the number of actual tissue donors. DRR demonstrated a 740% decrease in the number of missed donor referrals and a 16-fold increase in the number of ED charts with correct documentation regarding donation.<br/><br/>Recommendations: When potential donor families have their legal rights concerning donor decisions protected and addressed in a systematic and sensitive manner by ED staff, more tissue is available for transplantation and research, and there is improved compliance with MCAHO standards and hospital policy concerning organ and tissue donation. [Clinical Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:34:08Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:34:08Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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