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Mobile Application for Communication Increases the Efficiency of Organ Procurement and Transplantation

BACKGROUND: Donor organ recovery is a complex process involving organ procurement organizations and multiple surgical teams from various transplant centers. Nearly 30% of discarded organs are wasted due to reasons related to improper coordination and communication. PROBLEM STATEMENT: Lack of real-ti...

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Autores principales: Pahl, Eric, Emery, Robert W., Noce, Michael, Conrad, Suzanne, Patterson, Nicole, Timm, Brynn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7218344/
https://www.ncbi.nlm.nih.gov/pubmed/32270741
http://dx.doi.org/10.1177/1526924820913503
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author Pahl, Eric
Emery, Robert W.
Noce, Michael
Conrad, Suzanne
Patterson, Nicole
Timm, Brynn
author_facet Pahl, Eric
Emery, Robert W.
Noce, Michael
Conrad, Suzanne
Patterson, Nicole
Timm, Brynn
author_sort Pahl, Eric
collection PubMed
description BACKGROUND: Donor organ recovery is a complex process involving organ procurement organizations and multiple surgical teams from various transplant centers. Nearly 30% of discarded organs are wasted due to reasons related to improper coordination and communication. PROBLEM STATEMENT: Lack of real-time communication results in many hours of preventable delay between procurement and transplant teams resulting in the high volume of organ waste, clinical frustration, and critical delays. METHODS: A Plan-Do-Study-Act performance improvement methodology was utilized to design and implement a dedicated mobile communication application (app). Critical time points in the organ offer, procurement, and transplant processes were analyzed from the Report of Organ Offers, and relation coordination metrics were measured. PROCESSES ADDRESSED: Members of procurement and transplant teams in Iowa were interviewed and a dedicated smartphone application was implemented to replace phone calls, e-mails, faxes, and text messages during upcoming kidney offers from July 31, 2017 to July 31, 2018. OUTCOMES: Teams reported a substantial increase in clinical productivity and case progress awareness, including a noteworthy reduction in phone calls. The relational coordination data indicated substantially higher relationship and communication quality with the app. The Report of Organ Offer data revealed a 35% increase in organs transplanted and a 50% reduction in time from initial organ offer to transplant with the use of the mobile application. IMPLICATIONS FOR PRACTICE: The use of a dedicated communication application reduces clinical frustration and delays during the coordination of organ offer, procurement, and transplant. Technologies that improve communication have the potential to improve organ utilization.
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spelling pubmed-72183442020-06-02 Mobile Application for Communication Increases the Efficiency of Organ Procurement and Transplantation Pahl, Eric Emery, Robert W. Noce, Michael Conrad, Suzanne Patterson, Nicole Timm, Brynn Prog Transplant Performance Improvement BACKGROUND: Donor organ recovery is a complex process involving organ procurement organizations and multiple surgical teams from various transplant centers. Nearly 30% of discarded organs are wasted due to reasons related to improper coordination and communication. PROBLEM STATEMENT: Lack of real-time communication results in many hours of preventable delay between procurement and transplant teams resulting in the high volume of organ waste, clinical frustration, and critical delays. METHODS: A Plan-Do-Study-Act performance improvement methodology was utilized to design and implement a dedicated mobile communication application (app). Critical time points in the organ offer, procurement, and transplant processes were analyzed from the Report of Organ Offers, and relation coordination metrics were measured. PROCESSES ADDRESSED: Members of procurement and transplant teams in Iowa were interviewed and a dedicated smartphone application was implemented to replace phone calls, e-mails, faxes, and text messages during upcoming kidney offers from July 31, 2017 to July 31, 2018. OUTCOMES: Teams reported a substantial increase in clinical productivity and case progress awareness, including a noteworthy reduction in phone calls. The relational coordination data indicated substantially higher relationship and communication quality with the app. The Report of Organ Offer data revealed a 35% increase in organs transplanted and a 50% reduction in time from initial organ offer to transplant with the use of the mobile application. IMPLICATIONS FOR PRACTICE: The use of a dedicated communication application reduces clinical frustration and delays during the coordination of organ offer, procurement, and transplant. Technologies that improve communication have the potential to improve organ utilization. SAGE Publications 2020-04-09 2020-06 /pmc/articles/PMC7218344/ /pubmed/32270741 http://dx.doi.org/10.1177/1526924820913503 Text en © 2020, NATCO https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Performance Improvement
Pahl, Eric
Emery, Robert W.
Noce, Michael
Conrad, Suzanne
Patterson, Nicole
Timm, Brynn
Mobile Application for Communication Increases the Efficiency of Organ Procurement and Transplantation
title Mobile Application for Communication Increases the Efficiency of Organ Procurement and Transplantation
title_full Mobile Application for Communication Increases the Efficiency of Organ Procurement and Transplantation
title_fullStr Mobile Application for Communication Increases the Efficiency of Organ Procurement and Transplantation
title_full_unstemmed Mobile Application for Communication Increases the Efficiency of Organ Procurement and Transplantation
title_short Mobile Application for Communication Increases the Efficiency of Organ Procurement and Transplantation
title_sort mobile application for communication increases the efficiency of organ procurement and transplantation
topic Performance Improvement
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7218344/
https://www.ncbi.nlm.nih.gov/pubmed/32270741
http://dx.doi.org/10.1177/1526924820913503
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