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Proposal to Improve UNet sm Reporting of Aborted Procedures and Non-Transplanted Organs

Proposal to Improve UNet sm Reporting of Aborted Procedures and Non-Transplanted Organs. Living Donor Committee Spring 2015. The Problem. Two types of incidents may not be reported through the UNet sm system at the time of event and therefore may be underreported:

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Proposal to Improve UNet sm Reporting of Aborted Procedures and Non-Transplanted Organs

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  1. Proposal to Improve UNetsm Reporting of Aborted Procedures and Non-Transplanted Organs Living Donor Committee Spring 2015

  2. The Problem • Two types of incidents may not be reported through the UNetsm system at the time of event and therefore may be underreported: • aborted procedure after donor receives anesthesia • procedures where the living donor organ is recovered but not transplanted into any recipient

  3. The Problem • Underreporting is likely because: • Recovery hospitals are required to submit the Living Donor Feedback form before any donor recovery surgery • Form asks only about aborted procedures and not about situation where organ is recovered by not transplanted • The question about whether the living donor recovery procedure was aborted must be answered “N/A” at this time • Current policy does not require that the form be amended afterwards

  4. The Problem • Current system: What happens when a living donor organ is recovered but not transplanted? • The UNetsm system does not generate the Living Donor Registration (LDR) and Living Donor Follow-up (LDF) forms, which allows the living donor recovery center to report required donor follow-up – and the donor could be lost to follow-up

  5. Goals of the Proposal • To make certain the OPTN has an accurate count of: • aborted living donor recovery procedures • incidents when a living donor organ is recovered but not transplanted • To simplify reporting requirement for such events • To ensure that follow-up forms are generated so no living donor is lost to follow-up

  6. Supporting Evidence • Since 2003, 12 cases have been reported through UNetSM where a surgery was aborted because of a threat to the donor’s health after anesthesia was administered • Under-reporting suspected - the OPTN may not have a complete count of aborted living donor organ recovery procedures

  7. What Members will Need to Do • Contact the UNOS Help Desk to report: 1) aborted procedure after donor receives anesthesia 2) procedures where the living donor organ is recovered but the organ is not transplanted into any recipient • UNOS staff will make necessary changes to the Living Donor Feedback form

  8. Questions? • Mary Amanda Dew, PhD Committee Chair dewma@upmc.edu • Regional Rep name (RA will complete) Region X Representative email address • Lee Bolton, MSN, ACNP Committee Liaison lee.bolton@unos.org

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