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Author Topic: Trends and patterns in patient safety situations reported to the OPTN  (Read 1210 times)

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Offline Clark

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http://transplantpro.org/trends-and-patterns-in-patient-safety-situations-reported-to-the-optn/

Trends and patterns in patient safety situations reported to the OPTN

A detailed analysis of patient safety situations reported to the OPTN  is now available for review. The report, prepared at the request of the OPTN/UNOS operations and safety committee (OSC),  summarizes safety situations reported through the “improving patient safety” online portal in UNet and other sources.
Of patient safety issues reported through June 2013, analysis reveals that 23% of the issues involved a breakdown in communication. Other common safety issues involved testing (16%), organ allocation or placement (15%), and labeling issues (10%).
The OSC is committed to inform OPTN members about trends and patterns in patient safety reporting. Updates to the report are anticipated to be published semi-annually. The committee thanks individuals and institutions that continue to submit patient safety-related incident reports to help improve safety system-wide.

http://transplantpro.org/wp-content/uploads/Patient_Safety_report_09-2013.pdf

"Also, this report does not contain all living donor related events reported to the
OPTN, but only those reported as a safety situation in the IPS. Other events involving
living donors are reported through the Living Donor Adverse Event (LDAE) portal within the
IPS. Data from this portal is analyzed under a separate process, per direction of the OPTN
Living Donor Committee. "
Unrelated directed kidney donor in 2003, 500+ time blood & platelet donor and counting!
Rep to the OPTN/UNOS Boards of Directors & Executive, Kidney Transplantation, & Ad Hoc Public Solicitation of Organ Donors Committees 2005-2011

Offline Clark

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Re: Trends and patterns in patient safety situations reported to the OPTN
« Reply #1 on: November 15, 2013, 08:05:03 AM »
A few living donor issues reported are listed in Table 10, with no expository detail.
Unrelated directed kidney donor in 2003, 500+ time blood & platelet donor and counting!
Rep to the OPTN/UNOS Boards of Directors & Executive, Kidney Transplantation, & Ad Hoc Public Solicitation of Organ Donors Committees 2005-2011

 

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