已故器官捐献的捐赠者审计:一个范围审查
Amina Silva1,2, Jehan Lalani3, Lee James3
1Children's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada. asilva@cheo.on.ca.
Canadian journal of anaesthesia = Journal canadien d'anesthesie
|November 1, 2023
概括
捐赠者审计 (DA) 识别错过的已故器官捐献机会. 这些审计对于改善器官捐献和移植系统的性能和质量保证至关重要,特别是在心血管死亡后的捐献中.
科学领域:
- 器官移植 器官移植 器官移植
- 公共卫生 公共卫生
- 医疗质量保证 医疗质量保证
背景情况:
- 捐赠者审计 (DA) 对于评估已故器官捐献和移植系统至关重要.
- 关于DA指导系统性能和质量保证的文献需要综合.
研究的目的:
- 整理和总结有关捐赠者审计 (DA) 的现有文献.
- 了解如何使用DA指导已故器官捐献和移植系统的性能和质量保证.
主要方法:
- 通过MEDLINE,CINAHL,Web of Science和谷歌进行全面的文献搜索,寻找灰色文学.
- 选,数据提取和分析由两个审稿人独立进行.
- 结果分为动机,方法,捐赠人数,错过的机会和质量改进.
主要成果:
- 从2,416个独特的出版物中,包括了52项研究,主要来自英国.
- 对DA的主要动机是识别潜在的捐赠者;潜在的捐赠者数量远远超过实际的捐赠者.
- 在心脏循环死亡后的捐赠中,遗漏捐赠率更高 (14%) 与在神经学死亡确定后的捐赠相比 (43%).
结论:
- 捐赠者审计对于识别已故器官捐赠途径中错过的捐赠机会至关重要.
- DA支持对器官捐献和移植方面的质量改善举措进行评估.
- 研究结果强调,需要优化心脏循环死亡后的捐赠流程.
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