A multidisciplinary organ donor council and performance improvement initiative can improve donation outcomes

Allen P. Kong, Cristobal Barrios, Ali Salim, Lynn Willis, Marianne E. Cinat, Matthew O. Dolich, Michael E. Lekawa, Darren Malinoski

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

The shortage of organs available for transplantation has become a national crisis. The Department of Health and Human Services established performance benchmarks for timely notification, donation after cardiac death (DCD), and conversion rates (total donors/eligible deaths) to guide organ procurement organizations and donor hospitals in their attempts to increase the number of transplantable organs. In January 2007, an organ donor council (ODC) with an ongoing performance improvement case review process was created at a Level I trauma center. A critical care devastating brain injury protocol and a DCD policy were instituted. Best performance benchmarks were evaluated before and after establishment of the ODC. At our center, the total number of referrals increased from 96 in 2006 to 139 in 2007 and 143 in 2008. Timely notification rate increased from 64 per cent in 2006 to 83 per cent in 2007 and 2008 (P <0.01). DCD rate increased from 0 per cent in 2006 to 13 per cent in 2007 (P = 0.06) and 10 per cent in 2008 (P = 0.09). Conversion rate increased from 53 per cent in 2007 to 78 per cent in 2008 (P = 0.05) and 73 per cent in 2009 (P = 0.16). Organs transplanted per eligible death trended upward from 1.80 in 2007 to 2.54 in 2009 (P = 0.20). As a consequence, the establishment of a multidisciplinary ODC and performance improvement initiative demonstrated improved donation outcomes.

Original languageEnglish (US)
Pages (from-to)1059-1062
Number of pages4
JournalAmerican Surgeon
Volume76
Issue number10
StatePublished - Oct 2010
Externally publishedYes

Fingerprint

Tissue Donors
Benchmarking
United States Dept. of Health and Human Services
Tissue and Organ Procurement
Mortality
Trauma Centers
Organ Transplantation
Critical Care
Brain Injuries
Referral and Consultation
Organizations

ASJC Scopus subject areas

  • Surgery

Cite this

Kong, A. P., Barrios, C., Salim, A., Willis, L., Cinat, M. E., Dolich, M. O., ... Malinoski, D. (2010). A multidisciplinary organ donor council and performance improvement initiative can improve donation outcomes. American Surgeon, 76(10), 1059-1062.

A multidisciplinary organ donor council and performance improvement initiative can improve donation outcomes. / Kong, Allen P.; Barrios, Cristobal; Salim, Ali; Willis, Lynn; Cinat, Marianne E.; Dolich, Matthew O.; Lekawa, Michael E.; Malinoski, Darren.

In: American Surgeon, Vol. 76, No. 10, 10.2010, p. 1059-1062.

Research output: Contribution to journalArticle

Kong, AP, Barrios, C, Salim, A, Willis, L, Cinat, ME, Dolich, MO, Lekawa, ME & Malinoski, D 2010, 'A multidisciplinary organ donor council and performance improvement initiative can improve donation outcomes', American Surgeon, vol. 76, no. 10, pp. 1059-1062.
Kong AP, Barrios C, Salim A, Willis L, Cinat ME, Dolich MO et al. A multidisciplinary organ donor council and performance improvement initiative can improve donation outcomes. American Surgeon. 2010 Oct;76(10):1059-1062.
Kong, Allen P. ; Barrios, Cristobal ; Salim, Ali ; Willis, Lynn ; Cinat, Marianne E. ; Dolich, Matthew O. ; Lekawa, Michael E. ; Malinoski, Darren. / A multidisciplinary organ donor council and performance improvement initiative can improve donation outcomes. In: American Surgeon. 2010 ; Vol. 76, No. 10. pp. 1059-1062.
@article{6e7d927e589e4e8b8ce42d7b5e9cd683,
title = "A multidisciplinary organ donor council and performance improvement initiative can improve donation outcomes",
abstract = "The shortage of organs available for transplantation has become a national crisis. The Department of Health and Human Services established performance benchmarks for timely notification, donation after cardiac death (DCD), and conversion rates (total donors/eligible deaths) to guide organ procurement organizations and donor hospitals in their attempts to increase the number of transplantable organs. In January 2007, an organ donor council (ODC) with an ongoing performance improvement case review process was created at a Level I trauma center. A critical care devastating brain injury protocol and a DCD policy were instituted. Best performance benchmarks were evaluated before and after establishment of the ODC. At our center, the total number of referrals increased from 96 in 2006 to 139 in 2007 and 143 in 2008. Timely notification rate increased from 64 per cent in 2006 to 83 per cent in 2007 and 2008 (P <0.01). DCD rate increased from 0 per cent in 2006 to 13 per cent in 2007 (P = 0.06) and 10 per cent in 2008 (P = 0.09). Conversion rate increased from 53 per cent in 2007 to 78 per cent in 2008 (P = 0.05) and 73 per cent in 2009 (P = 0.16). Organs transplanted per eligible death trended upward from 1.80 in 2007 to 2.54 in 2009 (P = 0.20). As a consequence, the establishment of a multidisciplinary ODC and performance improvement initiative demonstrated improved donation outcomes.",
author = "Kong, {Allen P.} and Cristobal Barrios and Ali Salim and Lynn Willis and Cinat, {Marianne E.} and Dolich, {Matthew O.} and Lekawa, {Michael E.} and Darren Malinoski",
year = "2010",
month = "10",
language = "English (US)",
volume = "76",
pages = "1059--1062",
journal = "The American surgeon",
issn = "0003-1348",
publisher = "Southeastern Surgical Congress",
number = "10",

}

TY - JOUR

T1 - A multidisciplinary organ donor council and performance improvement initiative can improve donation outcomes

AU - Kong, Allen P.

AU - Barrios, Cristobal

AU - Salim, Ali

AU - Willis, Lynn

AU - Cinat, Marianne E.

AU - Dolich, Matthew O.

AU - Lekawa, Michael E.

AU - Malinoski, Darren

PY - 2010/10

Y1 - 2010/10

N2 - The shortage of organs available for transplantation has become a national crisis. The Department of Health and Human Services established performance benchmarks for timely notification, donation after cardiac death (DCD), and conversion rates (total donors/eligible deaths) to guide organ procurement organizations and donor hospitals in their attempts to increase the number of transplantable organs. In January 2007, an organ donor council (ODC) with an ongoing performance improvement case review process was created at a Level I trauma center. A critical care devastating brain injury protocol and a DCD policy were instituted. Best performance benchmarks were evaluated before and after establishment of the ODC. At our center, the total number of referrals increased from 96 in 2006 to 139 in 2007 and 143 in 2008. Timely notification rate increased from 64 per cent in 2006 to 83 per cent in 2007 and 2008 (P <0.01). DCD rate increased from 0 per cent in 2006 to 13 per cent in 2007 (P = 0.06) and 10 per cent in 2008 (P = 0.09). Conversion rate increased from 53 per cent in 2007 to 78 per cent in 2008 (P = 0.05) and 73 per cent in 2009 (P = 0.16). Organs transplanted per eligible death trended upward from 1.80 in 2007 to 2.54 in 2009 (P = 0.20). As a consequence, the establishment of a multidisciplinary ODC and performance improvement initiative demonstrated improved donation outcomes.

AB - The shortage of organs available for transplantation has become a national crisis. The Department of Health and Human Services established performance benchmarks for timely notification, donation after cardiac death (DCD), and conversion rates (total donors/eligible deaths) to guide organ procurement organizations and donor hospitals in their attempts to increase the number of transplantable organs. In January 2007, an organ donor council (ODC) with an ongoing performance improvement case review process was created at a Level I trauma center. A critical care devastating brain injury protocol and a DCD policy were instituted. Best performance benchmarks were evaluated before and after establishment of the ODC. At our center, the total number of referrals increased from 96 in 2006 to 139 in 2007 and 143 in 2008. Timely notification rate increased from 64 per cent in 2006 to 83 per cent in 2007 and 2008 (P <0.01). DCD rate increased from 0 per cent in 2006 to 13 per cent in 2007 (P = 0.06) and 10 per cent in 2008 (P = 0.09). Conversion rate increased from 53 per cent in 2007 to 78 per cent in 2008 (P = 0.05) and 73 per cent in 2009 (P = 0.16). Organs transplanted per eligible death trended upward from 1.80 in 2007 to 2.54 in 2009 (P = 0.20). As a consequence, the establishment of a multidisciplinary ODC and performance improvement initiative demonstrated improved donation outcomes.

UR - http://www.scopus.com/inward/record.url?scp=78651378211&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=78651378211&partnerID=8YFLogxK

M3 - Article

C2 - 21105609

AN - SCOPUS:78651378211

VL - 76

SP - 1059

EP - 1062

JO - The American surgeon

JF - The American surgeon

SN - 0003-1348

IS - 10

ER -