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  • Measure Summary
  • NQMC:008515
  • Mar 2011

Transplants: percentage of real donors.

Quality indicators in critically ill patients. Madrid (Spain): Spanish Society of Intensive and Critical Care and Units Coronary (SEMICYUC); 2011. 185 p.

View the original measure documentation External Web Site Policy

This is the current release of the measure.

The measure developer reaffirmed the currency of this measure in May 2016.

Primary Measure Domain

Related Health Care Delivery Measures: Management

Secondary Measure Domain

Does not apply to this measure

Description

This measure is used to assess the percentage of real donors.

Rationale

The aim of intensive care medicine is to provide critical patients with the healthcare that they need, ensuring the quality and safety of care. Intensive care medicine is one of the principal components of modern healthcare systems. There is an increasing demand for this resource, which involves high costs.

The quality of care has gradually come to be the central focus of healthcare, and in recent years patient safety has come to represent one of the key aspects of quality. In the case of intensive care medicine, this interest in quality is even more evident, not only because of its social and economic impact, but also because some of the dimensions involved in the quality of care of critical patients take on greater importance: critical patients are more vulnerable, access to critical care is more limited so efforts to distribute resources equitably are more important, scant scientific evidence is available, and the efficiency is limited.

Critical care departments play a leading role in ensuring the acquisition of as many organs as possible.

Evidence for Rationale

Escudero D, Matesanz R, Soratti CA, Flores JI, nombre de la Red/Consejo Iberoamericano de Donación y Trasplante. [General considerations on brain death and recommendations on the clinical decisions after its diagnosis. Red/Consejo Iberoamericano de Donación y Trasplante]. Med Intensiva. 2009 Dec;33(9):450-4. PubMed External Web Site Policy

Escudero D. [Brain death diagnosis]. Med Intensiva. 2009 May;33(4):185-95. PubMed External Web Site Policy

Guide of recommendations for quality assurance programmes in the deceased donation process. Developed by: Dopki Project Funded by the European Commission. 2009.

Programa de calidad en la donación de órganos. El Modelo español de Coordinación y Trasplantes Editorial Grupo Aula Médica S.L. ISBN: 978-84-7885-456-1 / Depósito Legal: M-22. 757-2008.

Quality indicators in critically ill patients. Madrid (Spain): Spanish Society of Intensive and Critical Care and Units Coronary (SEMICYUC); 2011. 185 p.

Seller Pérez G, Herrera-Gutiérrez ME, Lebrón-Gallardo M, Quesada-García G. [General planning for the maintenance of the organ donor]. Med Intensiva. 2009 Jun-Jul;33(5):235-42. PubMed External Web Site Policy

Seller Pérez G, Hinojosa Pérez R. [Maintenance of the organ donor]. Med Intensiva. 2009 Jun-Jul;33(5):233-4. PubMed External Web Site Policy

Primary Health Components

Transplants; organ donors; brain death

Denominator Description

Number of brain dead patients in the intensive care unit (ICU) (see the related "Denominator Inclusions/Exclusions" field)

Numerator Description

Number of real donors (see the related "Numerator Inclusions/Exclusions" field)

Type of Evidence Supporting the Criterion of Quality for the Measure

  • A formal consensus procedure, involving experts in relevant clinical, methodological, public health and organizational sciences
  • One or more research studies published in a National Library of Medicine (NLM) indexed, peer-reviewed journal

Additional Information Supporting Need for the Measure

Unspecified

Extent of Measure Testing

Unspecified

State of Use

Current routine use

Current Use

Monitoring and planning

Measurement Setting

Hospital Inpatient

Intensive Care Units

Professionals Involved in Delivery of Health Services

Does not apply to this measure (e.g., measure is not provider specific)

Least Aggregated Level of Services Delivery Addressed

Single Health Care Delivery or Public Health Organizations

Statement of Acceptable Minimum Sample Size

Does not apply to this measure

Target Population Age

Does not apply to this measure

Target Population Gender

Does not apply to this measure

IOM Care Need

Not within an IOM Care Need

IOM Domain

Not within an IOM Domain

Case Finding Period

Unspecified

Denominator Sampling Frame

Patients associated with provider

Denominator (Index) Event or Characteristic

Clinical Condition

Denominator Time Window

Does not apply to this measure

Denominator Inclusions/Exclusions

Inclusions
Number of brain dead patients in the intensive care unit (ICU)

Population: All brain dead patients during the period reviewed.

Exclusions
Unspecified

Exclusions/Exceptions

Does not apply to this measure

Numerator Inclusions/Exclusions

Inclusions
Number of real donors

Note:

  • Real donor: Donor taken to the operating room for the removal of organs (even if none of the organs removed are subsequently transplanted)
  • Potential donor: Patients diagnosed with brain death without absolute contraindications for donation
  • Brain death: Clinical situation in which the function of both the cerebral hemispheres and the brainstem has ceased completely and irreversibly
  • Real donor includes patients lost due to:
    • Clinical contraindication
    • Family and/or judicial refusal
    • Problems during the maintenance of the donor

Exclusions
Unspecified

Numerator Search Strategy

Institutionalization

Data Source

Electronic health/medical record

Paper medical record

Region, county, or city public health data

Other

Type of Health State

Does not apply to this measure

Instruments Used and/or Associated with the Measure

Unspecified

Measure Specifies Disaggregation

Does not apply to this measure

Scoring

Rate/Proportion

Interpretation of Score

Does not apply to this measure (i.e., there is no pre-defined preference for the measure score)

Allowance for Patient or Population Factors

Unspecified

Standard of Comparison

Internal time comparison

Prescriptive standard

Prescriptive Standard

Standard: 60%

Evidence for Prescriptive Standard

Quality indicators in critically ill patients. Madrid (Spain): Spanish Society of Intensive and Critical Care and Units Coronary (SEMICYUC); 2011. 185 p.

Original Title

Organ donors.

Measure Collection Name

Quality Indicators in Critically Ill Patients

Measure Set Name

Transplants

Submitter

Spanish Society of Intensive and Critical Care and Units Coronary - Clinical Specialty Collaboration

Developer

Spanish Society of Intensive and Critical Care and Units Coronary - Clinical Specialty Collaboration

Funding Source(s)

Boehringer Laboratories

Composition of the Group that Developed the Measure

Work Group on Transplants

  • Gemma Seller Pérez
  • Rafael Hinojosa Pérez
  • Dolores Escudero Augusto
  • José Luis Escalante Cobo
  • Francisco del Río Gallegos
  • Miguel Lebrón Gallardo
  • Enrique Maraví Poma
  • Ángel Herruzo Avilés

Scientific Coordination:

  • Maria Cruz Martín Delgado
  • Jesús Blanco Varela
  • Lluís Cabré Pericas
  • Pedro Galdos Anuncibay
  • Federico Gordo Vidal

Financial Disclosures/Other Potential Conflicts of Interest

Unspecified

Adaptation

This measure was not adapted from another source.

Date of Most Current Version in NQMC

2011 Mar

Measure Maintenance

Unspecified

Date of Next Anticipated Revision

2016 Jul

Measure Status

This is the current release of the measure.

The measure developer reaffirmed the currency of this measure in May 2016.

Source(s)

Quality indicators in critically ill patients. Madrid (Spain): Spanish Society of Intensive and Critical Care and Units Coronary (SEMICYUC); 2011. 185 p.

Measure Availability

Source available in English External Web Site Policy and Spanish External Web Site Policy from the Spanish Society of Intensive and Critical Care and Units Coronary (SEMICYUC) Web site.

For more information, contact SEMICYUC at Paseo de la Reina Cristina, 36, 4o D, Madrid, Spain; Phone: +34-91-502-12-13; Fax: +34-91-502-12-14; Web site: www.semicyuc.org External Web Site Policy; E-mail: secretaria@semicyuc.org.

NQMC Status

This NQMC summary was completed by ECRI Institute on March 17, 2014. The information was verified by the measure developer on April 25, 2014.

The information was reaffirmed by the measure developer on May 10, 2016.

Copyright Statement

This NQMC summary is based on the original measure, which is subject to the measure developer's copyright restrictions.

The Quality Indicators in Critically Ill Patients update 2011 can be used by any private or public body only for the purposes of research, clinical management, teaching and education, and will not be used for any other purpose. In all cases, full credit to the Spanish Society of Intensive Care Medicine (SEMICYUC) will be granted. The commercial use of the Quality Indicators in Critically Ill Patients update 2011 is explicitly forbidden.

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