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de la Rosa, G.; Domínguez‐Gil, B.; Matesanz, R.; Ramón, S.; Alonso‐Álvarez, J.; Araiz, J.; Choperena, G.; Cortés, J. L.; Daga, D.; Elizalde, J.; Escudero, D.; Escudero, E.; Fernández‐Renedo, C.; Frutos, M. A.; Galán, J.; Getino, M. A.; Guerrero, F.; Lara, M.; López‐Sánchez, L.; Macías, S.; Martínez‐Guillén, J.; Masnou, N.; Pedraza, S.; Pont, T.; Sánchez‐Rodríguez, A.
American journal of transplantation, September 2012, Letnik: 12, Številka: 9Journal Article
The Spanish Quality Assurance Program applied to the process of donation after brain death entails an internal stage consisting of a continuous clinical chart review of deaths in critical care units (CCUs) performed by transplant coordinators and periodical external audits to selected centers. This paper describes the methodology and provides the most relevant results of this program, with information analyzed from 206,345 CCU deaths. According to the internal audit, 2.3% of hospital deaths and 12.4% of CCU deaths in Spain yield potential donors (clinical criteria consistent with brain death). Out of the potential donors, 54.6% become actual donors, 26% are lost due to medical unsuitability, 13.3% due to refusals to donation, 3.1% due to maintenance problems and 3% due to other reasons. Although the national pool of potential donors after brain death has progressively decreased from 65.2 per million population (pmp) in 2001 to 49 pmp in 2010, the number of actual donors after brain death has remained at about 30 pmp. External audits reveal that the number of actual donors could be 21.6% higher if all potential donors were identified and preventable losses avoided. We encourage other countries to develop similar comprehensive approaches to deceased donation performance. The Spanish Quality Assurance Program applied to the process of donation after brain death represents a systematic, continuous and sustainable approach for a comprehensive assessment of this process, allowing for the estimation of the potential of donation, the analysis of performance and the identification of areas for improvement.
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Dostop do baze podatkov JCR je dovoljen samo uporabnikom iz Slovenije. Vaš trenutni IP-naslov ni na seznamu dovoljenih za dostop, zato je potrebna avtentikacija z ustreznim računom AAI.
Leto | Faktor vpliva | Izdaja | Kategorija | Razvrstitev | ||||
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JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
Baze podatkov, v katerih je revija indeksirana
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Povezave do osebnih bibliografij avtorjev | Povezave do podatkov o raziskovalcih v sistemu SICRIS |
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Vir: Osebne bibliografije
in: SICRIS
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