Eguchi Susumu, Soyama Akihiko, Nagai Kazuhiro, Miyazaki Yasushi, Kurihara Shintaro, Hidaka Masaaki, Ono Shinichiro, Adachi Tomohiko, Natsuda Koji, Hara Takanobu, Fujita Fumihiko, Kanetaka Kengo, Takatsuki Mistuhisa
Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1, Sakamoto, Nagasaki, 852-8501, Japan.
Department of Medical Safety, Nagasaki University Hospital, Nagasaki, Japan.
Surg Today. 2017 Aug;47(8):980-985. doi: 10.1007/s00595-017-1468-z. Epub 2017 Feb 15.
Although the incidence of living donor death is low in Japan, statistics show one living liver donor death in more than 7000 living liver transplants. Thus, medical transplant personnel must recognize that the death of a living organ or tissue transplant donor can occur and develop an appropriate risk management program.
We describe how Nagasaki University Hospital established and implemented a Donor Advocacy Team (DAT) program: a risk management program for initiation in the event of serious, persistent, or fatal impairment of an organ, tissue, or cell transplantation from a living donor.
The purposes of the DAT program are as follows: 1. To disclose official information without delay. 2. To provide physical and psychological care to the patient experiencing impairment and their family. 3. To provide psychological care to the medical staff in charge of the transplant. 4. To standardize the responses of the diagnosis and treatment department staff and other hospital staff. 5. To minimize the damage that the whole medical transplantation system may suffer and leverage the occurrence for improvement. To address (1) and (5), actions, such as reporting and responses to the government, mass media, transplant-related societies, and organ transplant networks, have been established to ensure implementation.
尽管在日本活体供体死亡的发生率较低，但统计数据显示，在超过7000例活体肝移植中发生了1例活体肝供体死亡。因此，医学移植人员必须认识到活体器官或组织移植供体可能会死亡，并制定适当的风险管理计划。
我们描述了长崎大学医院如何建立并实施供体支持团队（DAT）计划：这是一项风险管理计划，用于在活体供体的器官、组织或细胞移植出现严重、持续或致命损害时启动。
DAT计划的目的如下：1. 及时披露官方信息。2. 为遭受损害的患者及其家属提供身心护理。3. 为负责移植的医务人员提供心理护理。4. 规范诊断和治疗科室工作人员及其他医院工作人员的应对措施。5. 尽量减少整个医学移植系统可能遭受的损害，并利用这一事件进行改进。为了实现（1）和（5），已制定了向政府、大众媒体、移植相关协会和器官移植网络报告及应对等行动，以确保实施。
