Abstract
Organ donation rates for transplantation are low in Chile and there is a paucity of a technical-structured-normalized procurement process. To design a protocol to standardize the organ procurement process based on the Chilean reality. After a first phase of bibliographic reviews and analyzing de Chilean legislative and normative frame, a proposal was elaborated in collaboration with five expert coordinators. In the second phase, two Delphi rounds with the local coordinators of the organ procurement centers were carried out. Their responses were analyzed and the stages and criteria to standardize the organ procurement process were determined. The expert defined organ procurement process, validated by local coordinators, comprised nine stages and 36 criteria. The expert opinion coincidence was high and significant (Cronbach's alpha > 0.8, p < 0.01). The protocol describing the procurement process, constructed and validated by experts, will allow to standardize a clinical protocol contributing to a successful national organ procurement.
Highlights
Organ donation rates for transplantation are low in Chile and there is a paucity of a technical-structured-normalized procurement process
Aim: To design a protocol to standardize the organ procurement process based on the Chilean reality
Material and Methods: After a first phase of bibliographic reviews and analyzing de Chilean legislative and normative frame, a proposal was elaborated in collaboration with five expert coordinators
Summary
Organ donation rates for transplantation are low in Chile and there is a paucity of a technical-structured-normalized procurement process. Deben ser desarrollados basados en estas Orientaciones, que establecen 5 etapas asociadas al procuramiento: a) Detección, evaluación y seguimiento de posibles donantes; b) Mantención de todos los pacientes con potencialidad de donación; c) Certificación de muerte encefálica de potenciales donantes, d) Solicitud de testimonio de última voluntad, e) Procedimiento de extracción de órganos y tejidos y trasplante[9]. Las 9 etapas del Proceso de Procuramiento resultaron ser: a) Etapa 1 Detección y Selección del Posible Donante, es la primera y más importante etapa de este proceso y comienza con la pesquisa de los posibles donantes, siendo el primer eslabón de la cadena donación-trasplante, compuesta por una serie de actividades clínico-asistenciales y administrativas que permiten concluir con la extracción de órganos para trasplante.
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