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质量改进工具在管理器官捐献流程中的应用:系统评价方案。

Quality improvement tools to manage deceased organ donation processes: A scoping review protocol.

机构信息

Queen's University, Kingston, Canada; Children's Hospital of Eastern Ontario Research Institute, Ottawa, Canada.

Northern Ontario School of Medicine, Canada.

出版信息

Nurse Educ Pract. 2022 May;61:103322. doi: 10.1016/j.nepr.2022.103322. Epub 2022 Mar 5.

Abstract

AIM

To collate and summarize the literature on what quality improvement tools have been developed on safety of deceased organ donation processes for donation after circulatory determination of death and neurological determination of death.

BACKGROUND

The increasing organ shortage requires that organ donation organizations take preventive measures to improve their processes and maximize organ donation opportunities. Quality improvement tools can be used to facilitate daily activities, prevent errors and enhance organ donation processes. Still, there is a paucity of comprehensive evidence around the use of these strategies to manage organ donation processes.

METHODS

Scoping review methodology according to the Joanna Briggs Institute framework. We will search MEDLINE, Embase, PsycINFO, CINAHL, Web of Science - Science Citation Index and Social Science Citation Index and Academic Search Complete. We will also conduct a web search of Google and request unpublished material (e.g., institutional protocols and quality improvement tools) from key stakeholders in the organ donation field worldwide and we will consider reports dated after 2000. Two independent reviewers will screen the literature against the inclusion criteria, extract data according to the data extraction tool and perform descriptive analysis. Results will be assembled, summarized and presented through tabular form accompanied by a narrative summary to answer the review question.

EXPECTED RESULTS

Results from this scoping review will be used to develop and update quality improvement tools in decease organ donation, will be used to guide the second phase of a study aiming at developing a set of quality improvement tools to decease organ donation process, as well as these results can be used to inform future policy development in deceased organ donation.

摘要

目的

整理和总结关于在循环死亡和神经死亡后确定死亡的器官捐献过程的安全性方面已经开发了哪些质量改进工具的文献。

背景

器官短缺的增加要求器官捐赠组织采取预防措施来改进其流程并最大限度地提高器官捐赠机会。质量改进工具可用于促进日常活动、防止错误并增强器官捐赠流程。尽管如此,关于使用这些策略来管理器官捐赠流程的综合证据仍然很少。

方法

根据乔安娜·布里格斯研究所(Joanna Briggs Institute)框架进行范围综述方法。我们将搜索 MEDLINE、Embase、PsycINFO、CINAHL、Web of Science-Science Citation Index 和 Social Science Citation Index 以及 Academic Search Complete。我们还将在 Google 上进行网络搜索,并向全球器官捐赠领域的主要利益相关者请求未发表的材料(例如机构方案和质量改进工具),我们将考虑 2000 年后发表的报告。两名独立评审员将根据纳入标准筛选文献,根据数据提取工具提取数据,并进行描述性分析。结果将通过表格形式组合、总结和呈现,并附有叙述性摘要,以回答审查问题。

预期结果

这项范围综述的结果将用于开发和更新器官捐献中死亡器官的质量改进工具,用于指导旨在开发一套死亡器官捐献过程质量改进工具的研究的第二阶段,这些结果也可以用于为未来的死亡器官捐献政策制定提供信息。

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