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Communication gaps associated with donor-derived infections.

R Miller1, S Covington, S Taranto

  • 1Divisions of Infectious Diseases and Transplant Surgery, University of Iowa Carver College of Medicine, Iowa City, IA.

American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons
|November 8, 2014
PubMed
Summary
This summary is machine-generated.

Communication gaps in donor-derived infections frequently lead to adverse transplant recipient outcomes, including deaths. Timely reporting and effective communication are crucial for preventing infections and improving patient survival in organ transplantation.

Keywords:
Care deliveryOrgan Procurement and Transplantation Network (OPTN)clinical researchdonors and donation: donor-derived infectionsinfectious diseasepracticequality of care

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Area of Science:

  • Transplant Immunology
  • Infectious Disease Transmission
  • Healthcare Communication

Background:

  • Managing donor-derived infections in organ transplantation is complex.
  • Communication challenges exist between laboratories, organ procurement organizations (OPOs), and transplant centers.

Purpose of the Study:

  • To investigate communication delays and errors in reporting donor-derived infections.
  • To determine the association between communication gaps and preventable adverse events in recipients.

Main Methods:

  • Reviewed 56 donor-derived infection events (2008-2010) reported to the Organ Procurement and Transplantation Network Ad Hoc Disease Transmission Advisory Committee.
  • Evaluated communication gaps between donor centers, OPOs, and transplant centers.
  • Assessed the impact of these gaps on recipient outcomes.

Main Results:

  • Eighteen infection events (48 recipients) were linked to communication gaps.
  • 12 of these resulted in adverse effects in 69% of recipients, including six deaths.
  • Timely reporting and effective communication averted recipient infections in 23 events (72 recipients).

Conclusions:

  • Communication gaps in donor-derived infection reporting are common across multiple levels.
  • These gaps significantly contribute to adverse outcomes in transplant recipients.
  • Effective communication strategies are vital for minimizing or preventing infections and improving transplant outcomes.