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This study presents key performance indicators (KPIs) for deceased donor kidney retrieval, focusing on operational data requirements, quality, and timeliness of retrieval. Recommendations include tracking organ damage, improving communication quality, monitoring graft outcomes, and ensuring timely retrieval processes. The Working Group 3's recommendations aim to enhance the overall quality and efficiency of renal transplant services.
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Key performance indicators (KPIs) for deceased donor kidney retrieval Chris Callaghan On behalf of Working Group 3, NORS Review Implementation Board Renal Transplant Services Meeting, March 2016
WG3 – KPIs for NORS • Role: to develop new KPIs for NORS teams • 1) Operational (data requirements, availability, mobilisation time, response to clinical incidents), some have £ consequences • 2) Quality (organ-specific), in development, applied from 2017, not £ consequences, for comparison • Discussions with key stakeholders (AGs, NRG) • Presentation to the NORS Implementation Board
Organ-specific KPIs for NORS • Four domains • 1) Organ damage • 2) Quality of communication • 3) Graft outcome • 4) Timeliness of retrieval • Background, WG3 recommendation
Organ-specific KPIs for NORS • Organ damage • Currently coded as ‘moderate’ (requiring surgical repair) or ‘severe’ (unusable) • Funnel plots, by NORS team • WG3 recommendation: continue with the above, await further electronic coding (J Asher)
Organ-specific KPIs for NORS • Quality of communication • By phone, from retrieval to implanting teams • WG3 recommendation: only if concern about usability (damage, perfusion, parenchyma, anatomy, vessels), coding to be developed
Organ-specific KPIs for NORS • Graft outcome • Relevant to retrievals, evidence-based, risk-adjusted, adequate statistical power • WG3 recommendation: not directly relevant to kidney transplantation; decision for transplantation rests with implanting team
Organ-specific KPIs for NORS • Timeliness of retrieval • No clear evidence of impact on graft outcome, but overall quality indicator • WG3 recommendations: % thresholds • KTS to start of perfusion (DCD) • Start of perfusion to nephrectomy (DBD / DCD, multi-organ / kidney-only, first / second) • Nephrectomy to kidney in box (multi-organ / kidney-only)
