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Operations & Safety Committee

Operations & Safety Committee. Fall 2013 Update. Ongoing Committee Initiatives. Patient Safety News Published September 2013 with a brand new look Find it on Transplant Pro under Patient Safety Articles will now be published on a real time basis

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Operations & Safety Committee

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  1. Operations & Safety Committee Fall 2013 Update

  2. Ongoing Committee Initiatives • Patient Safety News • Published September 2013 with a brand new look • Find it on Transplant Pro under Patient Safety • Articles will now be published on a real time basis • Allows for more timely dissemination of patient safety information

  3. Patient Safety News: September 2013 Patient_Safety_News_09-2013

  4. Ongoing Committee Initiatives • ABO Verification-Failure Modes and Effects Analysis • Proactive technique to identify process points vulnerable to failure • Fail points ranked and examined for causes/solutions • Widely used in industries such as aviation, manufacturing, and health care • Part of OPTN Strategic Plan

  5. Ongoing Committee Initiatives • Involuntary Waitlist Transfers • Drafting “tool kit” to assist with information when transplant programs close • Sections for closing programs as well as programs receiving transferred patients • Section for patients developed with Patient Affairs Committee • Will contain requirements, helpful hints, and FAQs • Developing public comment proposal to electronically facilitate involuntary transfers involving groups of patients

  6. New Committee Initiatives • Building a “culture of safety” • Using safety data to help members learn from mistakes and improve processes • Sharing effective practices • Routinely publishing safety reporting results and top policy violations • Issuing safety alerts-new process developed

  7. Alert Issued: Extra vessels use in non-transplant procedures

  8. Questions? • Jean Davis, Committee Chairjean.davis@lifelinkfound.org • Name Region # Representativename@email • Susan Tlusty, Committee Liaisonsusan.tlusty@unos.org

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