Manyalich M, Guasch X, Gomez M P, Páez G, Teixeira L
Transplant Procurement Management, Spain.
Transplant Proc. 2013;45(10):3462-5. doi: 10.1016/j.transproceed.2013.09.009.
Differences in the number of organ donors among hospitals cannot be explained only by the number of intensive care unit beds used or neurologic patients treated. The figures obtained are influenced by the organizational structure of the donation process and how efficient it is. The Organ Donation European Quality System (ODEQUS) is a 3-year project (from October 2010 to September 2013) co-financed by the European Agency for Health and Consumers (EAHC20091108) which aims to define a methodology to evaluate organ procurement performance at the hospital level. ODEQUS's specific objectives are to identify quality criteria and to develop quality indicators in three types of organ donation (after brain death, after cardiac death, and living donation). Those tools will be useful for hospitals' self-assessment as well as for developing an international auditing model. A consortium has been established involving 14 associated partners from Austria, Croatia, France, Germany, Italy, Poland, Portugal, Romania, Spain, Sweden, and the United Kingdom, as well as five collaborating partners from Greece, Hungary, Malta, Slovenia, and Turkey. The project has been established in three steps: 1) Design of a survey about the use of quality tools in a wide sample of European hospitals; 2) Development of quality criteria and quality indicators by the project experts. The main fields considered have been organizational structures, clinical procedures, and outcomes; and 3) Elaboration of an evaluation system to test the quality indicators in 11 European hospitals. Two types of training have been designed and performed: one concerns the development of quality criteria and quality indicators, whereas another is focused on how to use evaluation tools. Following this methodology, the project has so far identified 131 quality criteria and developed 31 quality indicators. Currently, the quality indicators are being tested in 11 selected hospitals.
医院之间器官捐献者数量的差异不能仅通过重症监护病房床位的使用数量或接受治疗的神经科患者数量来解释。所获得的数据受到捐献流程的组织结构及其效率的影响。欧洲器官捐献质量体系（ODEQUS）是一个为期三年的项目（从2010年10月至2013年9月），由欧洲卫生与消费者保护局共同资助（EAHC20091108），其目的是确定一种方法来评估医院层面的器官获取绩效。ODEQUS的具体目标是确定质量标准，并制定三种器官捐献类型（脑死亡后、心脏死亡后和活体捐献）的质量指标。这些工具将有助于医院进行自我评估，也有助于建立一个国际审计模型。一个联盟已经成立，成员包括来自奥地利、克罗地亚、法国、德国、意大利、波兰、葡萄牙、罗马尼亚、西班牙、瑞典和英国的14个相关合作伙伴，以及来自希腊、匈牙利、马耳他、斯洛文尼亚和土耳其的5个合作伙 伴。该项目分三个阶段开展：1）对欧洲众多医院使用质量工具的情况进行调查设计；2）由项目专家制定质量标准和质量指标。所考虑的主要领域包括组织结构、临床程序和结果；3）精心设计一个评估系统，在11家欧洲医院测试质量指标。已经设计并开展了两种类型的培训：一种涉及质量标准和质量指标的制定，另一种则侧重于如何使用评估工具。按照这种方法，该项目迄今已确定了131项质量标准，并制定了31项质量指标。目前，质量指标正在11家选定的医院进行测试。
