Improving recognition of potential tissue donors; a quality improvement project by a hospitalist in training in The Netherlands
M. de Boom, J.G.C. Blok-Singerling, M.S. Huijzer-den Toom, D.C. Grootendorst, M. Franken-de Koster, C. Brumsen
Chair(s): dr. A. Nurmohamed
Thursday 9 march 2017
12:45 - 13:00h
Categories: Poster - Klinisch
Parallel session: Postersessie - Klinisch 2
The number of effectuated tissue donations has shown a decreasing trend in The Netherlands over the last years. The aim of this study was to assess the number of missed tissue donors and to develop an improvement plan. We retrospectively analyzed patient files of all deceased patients in 2014 for their potential as a tissue donor. Our primary aim was to determine the number of missed tissue donors. Our secondary aim was the percentage of correct identification of a possible tissue donor amongst all physicians and hospitalists in training. Additionally, three focus group discussions and a clinical audit determined the level of knowledge about, and adherence to the local and national protocols. This enabled us to suggest national and local improvements to lower the percentage of missed tissue donors. Patient files of 548 deceased patients were analyzed. The number of missed tissue donors was 94 (17.2%). The percentage of correct identification was 65.7% amongst all physicians (Cohen’s Kappa Coefficient 0.557, p=<0.001). The percentage of correct identification was 57.1% amongst hospitalists in training (Cohen’s Kappa Coefficient 0.492, p=<0.001). There was no statistical difference in correct identification. In 31 patients (32,4%), the reported contra-indication by physicians was not a contra-indication for tissue donation in The Netherlands. Better informing physicians about contra-indications and aiding them in the recognition of a tissue donor are the most potential improvements to increase the number of tissue donations.
