Quality improvement tools to manage deceased organ donation processes: a scoping review

Quality improvement tools to manage deceased organ donation processes: a scoping review

ObjectiveTo collate and summarise the literature on the quality improvement tools that have been developed for deceased organ donation processes after circulatory determination of death and neurological determination of death.DesignScoping review using the Joanna Briggs Institute framework.Data sour...

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Bibliographic Details
Published in:BMJ open Vol. 13; no. 2; p. e070333
Main Authors: Silva, Amina, Arora, Samantha, Dhanani, Sonny, Rochon, Andrea, Giorno, Luciana P., Jackson, Elayne, Hornby, Laura, Latifi, Marzieh, Lotherington, Ken, Luctkar-Flude, Marian, Petry, Stefany, Wilson, Lindsay, Silva e Silva, Vanessa
Format: Journal Article
Language:English
Published: England British Medical Journal Publishing Group 02-02-2023
BMJ Publishing Group LTD
BMJ Publishing Group
Series:Original research
Subjects:
Blood & organ donations
Citation indexes
Clinical outcomes
Complex patients
Content analysis
Death
Health Services Research
Humans
Organ Transplantation
Organisation of health services
Patient safety
Quality Improvement
Quality in health care
Tissue and Organ Procurement
Tissue Donors
TRANSPLANT MEDICINE
Quality in health care
TRANSPLANT MEDICINE
Organisation of health services
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Summary:ObjectiveTo collate and summarise the literature on the quality improvement tools that have been developed for deceased organ donation processes after circulatory determination of death and neurological determination of death.DesignScoping review using the Joanna Briggs Institute framework.Data sourcesWe searched for published (MEDLINE, Embase, PsycINFO, CINAHL, Web of Science) and unpublished literature (organ donation organisation websites worldwide). The search was initially conducted on 17 July 2021 and updated on 1 June 2022. Included articles discussed the creation and/or use of quality improvement tools to manage deceased organ donation processes. Two independent reviewers screened the references, extracted and analysed the data.Results40 references were included in this review, and most records were written in English (n=38), originated in Canada (n=21), published between 2016 and 2022 (n=22), and were specific for donation after neurological determination of death (n=20). The tools identified included checklists, algorithms, flow charts, charts, pathways, decision tree maps and mobile apps. These tools were applied in the following phases of the organ donation process: (1) potential donor identification, (2) donor referral, (3) donor assessment and risk, (4) donor management, (5) withdrawal of life-sustaining measures, (6) death determination, (7) organ retrieval and (8) overall organ donation process.ConclusionsWe conducted a thorough investigation of the available quality improvement tools for deceased organ donation processes. The existing evidence lacks details in the report of methods used for development, testing and impact of these tools, and we could not locate tools specific for some phases of the organ donation process. Lastly, by mapping existing tools, we aim to facilitate both clinician choices among available tools, as well as research work building on existing knowledge.
Bibliography:Original research
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ObjectType-Review-1
ISSN:2044-6055
2044-6055
DOI:10.1136/bmjopen-2022-070333