|
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
|
