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Related Concept Videos

Nursing Evaluation01:15

Nursing Evaluation

The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
Section...
Bone Marrow Sampling and Transplants01:22

Bone Marrow Sampling and Transplants

Bone marrow transplant is a potential cure for several diseases, including cancer and specific genetic disorders. Notably, this procedure is applicable for patients suffering from aplastic anemia, certain types of leukemia, severe combined immunodeficiency disease (SCID), Hodgkin's disease, non-Hodgkin's lymphoma, multiple myeloma, thalassemia, sickle-cell disease, and certain cancers.
The transplant begins with high doses of chemotherapy and radiation treatment, which aim to destroy the...
Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation01:20

Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation

Evaluation of the teaching process enables the nurse to determine if the patient's learning needs were met and if training was effective. If the expected outcomes are not met, the care plan is revised, and additional education or reinforcement is provided. Nurses can ask questions after the session or obtain feedback to assess the patient's understanding of the topic.
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning, patient...
Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...

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Related Experiment Video

Updated: May 21, 2026

Lung Rapid Recovery Procurement Combined with Abdominal Normothermic Regional Perfusion in Controlled Donation after Circulatory Death
09:54

Lung Rapid Recovery Procurement Combined with Abdominal Normothermic Regional Perfusion in Controlled Donation after Circulatory Death

Published on: August 15, 2022

Continuously evaluating performance in deceased donation: the Spanish quality assurance program.

G de la Rosa1, B Domínguez-Gil, R Matesanz

  • 1Organización Nacional de Trasplantes, Madrid, Spain. grosa@msssi.es

American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons
|June 19, 2012
PubMed
Summary

Spain

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Area of Science:

  • Organ Donation and Transplantation
  • Public Health
  • Critical Care Medicine

Background:

  • The Spanish Quality Assurance Program monitors deceased donation after brain death.
  • This program involves internal audits of critical care unit (CCU) deaths and external center audits.
  • Data from 206,345 CCU deaths were analyzed.

Purpose of the Study:

  • To describe the methodology of the Spanish Quality Assurance Program.
  • To present key results from the program's audits.
  • To evaluate deceased donation performance in Spain.

Main Methods:

  • Continuous clinical chart review of CCU deaths by transplant coordinators.
  • Periodical external audits of selected donation centers.
  • Analysis of data from a large cohort of CCU deaths.

Main Results:

  • 2.3% of hospital deaths and 12.4% of CCU deaths met criteria for potential donors.
  • 54.6% of potential donors became actual donors; key losses were due to medical unsuitability (26%) and refusals (13.3%).
  • Actual donors remained stable (approx. 30 pmp) despite a decrease in potential donors; external audits suggest a potential 21.6% increase in donors.

Conclusions:

  • The Spanish Quality Assurance Program effectively maintains organ donor numbers.
  • Addressing medical unsuitability and refusals could significantly increase donor numbers.
  • Comprehensive quality assurance programs are recommended for improving deceased donation performance globally.