Pahl Eric, Emery Robert W, Noce Michael, Conrad Suzanne, Patterson Nicole, Timm Brynn
Health Informatics, University of Iowa, Iowa City, IA, USA.
Research, OmniLife, Inc, Lexington, KY, USA.
Prog Transplant. 2020 Jun;30(2):172-176. doi: 10.1177/1526924820913503. Epub 2020 Apr 9.
Donor organ recovery is a complex process involving organ procurement organizations and multiple surgical teams from various transplant centers. Nearly 30% of discarded organs are wasted due to reasons related to improper coordination and communication.
Lack of real-time communication results in many hours of preventable delay between procurement and transplant teams resulting in the high volume of organ waste, clinical frustration, and critical delays.
A Plan-Do-Study-Act performance improvement methodology was utilized to design and implement a dedicated mobile communication application (app). Critical time points in the organ offer, procurement, and transplant processes were analyzed from the Report of Organ Offers, and relation coordination metrics were measured.
Members of procurement and transplant teams in Iowa were interviewed and a dedicated smartphone application was implemented to replace phone calls, e-mails, faxes, and text messages during upcoming kidney offers from July 31, 2017 to July 31, 2018.
Teams reported a substantial increase in clinical productivity and case progress awareness, including a noteworthy reduction in phone calls. The relational coordination data indicated substantially higher relationship and communication quality with the app. The Report of Organ Offer data revealed a 35% increase in organs transplanted and a 50% reduction in time from initial organ offer to transplant with the use of the mobile application.
The use of a dedicated communication application reduces clinical frustration and delays during the coordination of organ offer, procurement, and transplant. Technologies that improve communication have the potential to improve organ utilization.
供体器官获取是一个复杂的过程，涉及器官获取组织和来自各个移植中心的多个手术团队。近30%的废弃器官因协调和沟通不当而被浪费。
缺乏实时沟通导致获取团队和移植团队之间出现许多可避免的数小时延误，从而导致大量器官浪费、临床挫败感以及严重延误。
采用计划-执行-研究-行动绩效改进方法来设计和实施一款专用移动通信应用程序（应用）。根据器官供体报告分析器官供体、获取和移植过程中的关键时间点，并衡量关系协调指标。
对爱荷华州获取团队和移植团队的成员进行了访谈，并实施了一款专用智能手机应用程序，以在2017年7月31日至2018年7月31日即将进行的肾脏供体过程中取代电话、电子邮件、传真和短信。
各团队报告称临床生产力和病例进展意识大幅提高，包括电话显著减少。关系协调数据表明，使用该应用程序后，关系和沟通质量大幅提高。器官供体报告数据显示，使用移动应用程序后，移植器官数量增加了35%，从最初器官供体到移植的时间减少了50%。
使用专用通信应用程序可减少器官供体、获取和移植协调过程中的临床挫败感和延误。改善沟通的技术有可能提高器官利用率。
