Abstract
The need of increasing the number of notifications of potential and actual donors is a worldwide problem. There is still much loss of donors, which can be avoided. To use instruments adapted from the Model of Quality Management of the Spanish National Organization of Transplants in pilot hospitals in Brazil. This was a quantitative research developed in three large hospitals in Santa Catarina, The option by the three institutions is related to the number of Intensive Care Unit (ICU) beds and the number of potential donors notifications Central Catchment Notification and Distribution of Organs and Tissues of State (CNCDO-SC). Data collection was performed in medical records from deceased patients in the units of critical patients using two validated instruments, period of three months, in two steps as directed by ONT. In one of the hospitals, there was a higher percentage of losses due to maintenance problems (17.6%), family refusal (64.3%) and escapes (16.7%), and there also was a lower real effectuation index (29.4%). In 70.3%, losses due to maintenance were associated with irreversible cardiac arrest and hemodynamic instability. Family refusal was associated in 48.4% with the fact that the family was against donation and ample desire to keep the body integrate. Information obtained allows the manager to administer these data and therefore to implement actions of improvement, increasing the number of donator of organs and tissues.
Highlights
The need of increasing the number of notifications of potential and actual donors is a worldwide problem
This was a quantitative research developed in three large hospitals in Santa Catarina, The option by the three institutions is related to the number of Intensive Care Unit (ICU) beds and the number of potential donors notifications Central Catchment Notification and Distribution of Organs and Tissues of State (CNCDOSC)
Chart 1 shows the data for each hospital and the percent rate of patient charts meeting the criteria for brain death (BD) at each hospital, donors lost during maintenance, family refusals to organ donation, and missed possible donors
Summary
The need of increasing the number of notifications of potential and actual donors is a worldwide problem. Conclusion: Information obtained allows the manager to administer these data and to implement actions of improvement, increasing the number of donator of organs and tissues. Some authors have described the factors associated with missed potential donors.[10,11,12,13,14,15,16,17,18,19,20,21,22,23,24] These studies revealed the distrust with which the population sees the organ donation process and the lack of training and involvement of health care workers with the process, in addition to myriad religious and cultural factors
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