Total quality management including a detailed documentation system increases organ donation rates by transparency of information and consecutive motivation

Plessen, V.; Kolditz, Martin; Bl̈adtke, L.; Vogelsang, F.; Moysich, K.; Schäfer, H.; Smit, H.; Basse, H.; Zickgraf, T.; Pichlmayr, R.; K, Ketzler; Gubernatis, G.

doi:10.1016/s0041-1345(96)00702-6

Cited by 4 publications

(1 citation statement)

References 2 publications

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“…While initial findings from the Breakthrough Collaborative are promising, neither the Breakthrough Collaborative nor other large scale quality improvement programs to promote donation (Burris and Jacobs 1996; Plessen et al 1997; Bozzi et al 2004; Tokalak et al 2005) have been rigorously evaluated. This study fills the gap on the effectiveness of quality improvement in organ procurement by estimating the impact of the Organ Donation Breakthrough Collaborative on donation rates.…”

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confidence: 99%

Does Quality Improvement Work? Evaluation of the Organ Donation Breakthrough Collaborative

Howard

Siminoff

McBride

et al. 2007

Health Services Research

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Objective. The Organ Donation Breakthrough Collaborative is a quality improvement initiative to encourage adoption of ''best practices'' for identifying potential donors and obtaining consent for deceased organ donation. We evaluate the impact of the first phase on organ donation rates. Setting. We study donation rates in the 95 hospitals that participated in the first phase and a control group of 125 hospitals. Data. We use administrative data from the Organ Procurement and Transplantation Network to compute the conversion rate in each hospital group and time period. The conversion rate is the proportion of eligible donors who became actual donors. Principal Findings. Preperiod conversion rates in Collaborative and control hospitals were similar: 52 and 51 percent, respectively. In the postperiod, the conversion rate increased to 60 percent among Collaborative hospitals and remained at 51 percent among control hospitals. The relative change was 8 percentage points (95 percent confidence interval: 2-13: po.001). Conclusions. Our findings suggest that the Breakthrough Collaborative led to an increase in donation rates at participating hospitals.

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confidence: 99%

Does Quality Improvement Work? Evaluation of the Organ Donation Breakthrough Collaborative

Howard

Siminoff

McBride

et al. 2007

Health Services Research

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Umfassendes Dienstleistungsangebot für Versorgungskrankenhäuser im Bereich Organspende verdoppelt nahezu die Spenderzahlen in zwei Jahren bei gleichzeitig ökonomischer Vorgehensweise

Gubernatis

Schott

Pichlmayr

et al. 1997

Klinik Und Forschung in Der Chirurgie Unter Dem Aspekt Von Effizienz Und Ökonomie

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Ethical Analysis of Organ Recovery Denials by Medical Examiners, Coroners, and Justices of the Peace

Shafer

Schkade

Siminoff

et al. 1999

Journal of Transplant Coordination

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Context Despite its pivotal nature, until the early 1990s the role of medical examiners, coroners, and justices of the peace was largely ignored in discussions of the critical shortage of organs for transplantation in the United States. These officials have the right to determine, from a medico-legal perspective, whether a deceased person can be an organ donor. Thus, they play an important role in the donation process. Using a principles-based ethical framework, this article examines the problem of nonrecovery of life-saving organs for transplantation in the United States because a medical examiner or other official denies recovery. Objective The goals of organ donation and the collection of forensic evidence are not mutually exclusive. An analysis of the ethical principles and obligations of beneficence, respect for autonomy, and justice reveals that medical examiners and other officials could probably, after appropriate review, release all cases under their jurisdiction for organ donation. Conclusion Medical examiners, coroners, and justices of the peace could assume a leadership role, working together on public policy with medical, social, and legal groups, spearheading efforts to stop the loss of organs due to official denials, up to and including state and federal regulation and legislation. Beyond their professional obligations, as agents of a social institution, medical examiners and other officials have the more general ethical responsibility of promoting the public health and welfare and of reinforcing societal consensus that transplantation is a social good which should be optimized through formal and informal activities.

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Total quality management including a detailed documentation system increases organ donation rates by transparency of information and consecutive motivation

Cited by 4 publications

References 2 publications

Does Quality Improvement Work? Evaluation of the Organ Donation Breakthrough Collaborative

Does Quality Improvement Work? Evaluation of the Organ Donation Breakthrough Collaborative

Umfassendes Dienstleistungsangebot für Versorgungskrankenhäuser im Bereich Organspende verdoppelt nahezu die Spenderzahlen in zwei Jahren bei gleichzeitig ökonomischer Vorgehensweise

Ethical Analysis of Organ Recovery Denials by Medical Examiners, Coroners, and Justices of the Peace

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