| Attribute | Median | Tertile 7–9 (%) | Tertile 7–9 (n) |
---|---|---|---|---|
Structure indicators | ||||
1. Existence of donation process procedures. | Relevance | 9 | 89% | 16 |
Formula: existence of procedures for all relevant steps of the donation process? | Feasibility | 9 | 83% | 15 |
2. Existence of a proactive donor detection protocol. | Relevance | 9 | 89% | 16 |
Formula: existence of a donor detection protocol? | Feasibility | 8 | 72% | 13 |
3. Documentation of key interventions of the donation process. | Relevance | 8 | 89% | 16 |
Formula: existence of a documentation form with all relevant key interventions of the donation process? | Feasibility | 8 | 83% | 15 |
4. Seminars on organ donation. | Relevance | 8 | 83% | 15 |
Formula: number of organ donation seminars organized last year? | Feasibility | 8 | 78% | 14 |
Process indicators | ||||
5. Detection of all potential donors after brain death in the ICU. | Relevance | 9 | 94% | 17 |
Formula: number of potential donors after brain death in the ICU who are referred to the donor coordinator / number of potential donors after brain death in the ICU. | Feasibility | 8 | 83% | 15 |
6. Evaluation of donors after brain death. | Relevance | 9 | 89% | 16 |
Formula: number of patients declared brain death in the ICU who have been evaluated as donors in consult with a transplant center / number of patients declared brain death in the ICU. | Feasibility | 8 | 78% | 14 |
7. Donor management goals. | Relevance | 8 | 83% | 15 |
Formula: number of actual donors after brain death in the ICU meeting 5 of the 7 donor management goals prior to organ recovery (mean arterial pressure: 60–110 mmHg, number of vasopressors ≤ 1, arterial blood gas pH: 7.3–7.5, serum sodium: 135–155 mEq/L, blood glucose: ≤ 180 mg/dL, urine output: ≥ 0.5 mL/kg/h over 4 h, core body temperature: 35–37 °C) / number of actual donors after brain death in the ICU. | Feasibility | 8 | 72% | 13 |
8. Documentation of cause of no donation. | Relevance | 9 | 94% | 17 |
Formula: number of failed potential donors in which the cause of no donation is properly documented / number of failed potential donors. | Feasibility | 8 | 83% | 15 |
9. Documentation of evaluation of potential donors. | Relevance | 8 | 83% | 15 |
Formula: number of donors correctly evaluated / number of donors evaluated. | Feasibility | 8 | 67% | 12 |
Outcome indicators | ||||
10. Family objection to organ donation. | Relevance | 9 | 89% | 16 |
Formula: number of objections (number of potential donor after brain death cases with family objection to organ donation) / number of families interviewed* (number of potential donor after brain death cases in which family members are informed about the possibility of organ donation). *exclusion of donor cases where the patient’s wishes are known (formal or informal). | Feasibility | 8 | 78% | 14 |
11. Conversion rate in donors after brain death. | Relevance | 9 | 78% | 14 |
Formula: number of actual donors after brain death / number of eligible donors after brain death. | Feasibility | 9 | 78% | 14 |