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Proposal to Modify ABO Determination, Reporting, and Verification Requirements

Proposal to Modify ABO Determination, Reporting, and Verification Requirements. Operations and Safety Committee Spring 2014. The Problem. Accidental ABO incompatible transplants – rare but devastating Safety gaps and risk Varying requirements and complex language:

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Proposal to Modify ABO Determination, Reporting, and Verification Requirements

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  1. Proposal to Modify ABO Determination, Reporting, and Verification Requirements Operations and Safety Committee Spring 2014

  2. The Problem • Accidental ABO incompatible transplants – rare but devastating • Safety gaps and risk • Varying requirements and complex language: • Deceased and living donation • Candidate and donor • OPTN and CMS • Compliance issues

  3. Goal of the Proposal • Reduce risk of accidental ABO incompatible transplants • Increase transplant safety • Improve policy consistency and clarity • Align requirements

  4. How the Proposal will Achieve its Goal

  5. How the Proposal will Achieve its Goal

  6. How the Proposal will Achieve its Goal

  7. Additional Background • Failure Modes and Effects Analysis (FMEA): • Policy recommendations • Competency training and education • Electronic solutions: UNet and Electronic Tracking and Transport Project • Further aligns some requirements with CMS: • OPO deceased donor organ recovery verification • Living donor organ recovery verification scope and timing • Transplant surgeon in final pre-transplant verification

  8. Supporting Evidence • Failure Modes and Effects Analysis (FMEA) • Data analysis: • ABO policy compliance • Cases not on match run • Changes to ABO listings • Patient safety situation reporting • Literature Review

  9. What Members will Need to Do • OPOs and Transplant Hospitals will need to: • Define “qualified health care professional” in protocols • Be familiar with required verification information and acceptable sources • OPOs will need to: • Assure two blood type determination and reports completed prior to match run • Conduct deceased donor organ recovery verification • Rerun match if organ not allocated on initial run if data are updated/reported

  10. What Members will Need to Do • Transplant hospitals will need to: • Conduct living donor organ recovery verification prior to anesthesia • Conduct organ check in when organs arrive from different OR suite • Conduct pre-procedure verification when surgery starts prior to organ arrival

  11. Questions? • Jean Davis Committee Chair jean.davis@lifelinkfound.org • Name Region # Representative Email • Susan Tlusty Committee Liaison susan.tlusty@unos.org

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