Jynge O, Andréasson C, Bergström C, Björklund E, Croon A C, Tydén L, Wahlberg J, Tibell A
OFO Mellansverige, Organisation for Organ Donation in Central Sweden, Stockholm.
Transplant Proc. 2006 Oct;38(8):2622-4. doi: 10.1016/j.transproceed.2006.07.039.
The quality of the organs harvested from a deceased donor is of critical importance for the outcome of the transplantations. During 2005, a quality assurance project was initiated to evaluate the donor management, harvest operation, and flow of information during the donation process. Three kinds of questionnaires were used in each donation. They were completed by the transplant coordinator, the harvesting surgeon, and the surgeons performing the liver and kidney transplantations. Feedback is given to the harvesting teams within 2 weeks after the procedures. The most important findings related to missed information concerning organ abnormalities or organ damage from the procurement operation. Procurement of organs from a deceased donor involves a complex chain of events. Based on our experiences in this 1-year project, we believe that standardized registration of the various parts of the process and structured feedback to the staff give possibilities to improve performance. After minor modifications, this method for quality assurance has been introduced as a permanent part of our donation procedure. We believe that this strategy can help to detect weaknesses and improve transplant outcomes.
从已故供体获取的器官质量对于移植结果至关重要。2005年期间，启动了一个质量保证项目，以评估捐赠过程中的供体管理、获取手术及信息流。每次捐赠使用三种问卷。由移植协调员、获取外科医生以及实施肝脏和肾脏移植手术的外科医生填写。术后两周内将反馈提供给获取团队。最重要的发现涉及与获取手术中器官异常或器官损伤相关的信息遗漏。从已故供体获取器官涉及一系列复杂事件。基于我们在这个为期一年项目中的经验，我们认为对过程各环节进行标准化记录并向工作人员提供结构化反馈，有可能提高工作表现。经过细微修改后，这种质量保证方法已作为我们捐赠程序的固定组成部分引入。我们相信这种策略有助于发现薄弱环节并改善移植结果。
