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Table 3 Results of the 11 quality indicators for which consensus was reached by the overall panel after the third Delphi round

From: Development of key interventions and quality indicators for the management of an adult potential donor after brain death: a RAND modified Delphi approach

  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
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