Preventable harm in the Canadian organ donation and transplantation system: a descriptive study of missed organ donor identification and referral
Authors' conclusion
Data from four Canadian ODOs show that missed IDR safety events resulted in important preventable harm measured by a lost opportunity for donation of 2.4 donors PMP annually and 354 potentially missed transplants between 2016 and 2018.
Study context
- Population
- Potential deceased organ donors, Canadian organ donation organizations (ODOs), 2016–2018four ODOs
- Outcome
- Missed identification and referral (IDR) patients eligible for approach (safety events) and associated preventable harm
- Follow-up
- Annually
Methodological detailsnational, multi-organization data request
- National
- Multi-organization data request
Main finding
As reported in the abstract
Missed IDR patients eligible for approach
- Missed identification and referral (IDR) patients eligible for approach per year
- 63-76
- Missed IDR patients eligible for approach per million population (PMP)
- 3.6-4.5
- Missed donors per year
- 37-41
- Missed donors PMP per year
- 2.4
- Theoretical missed transplants per year (assuming three transplants per donor)
- 111-123
- Theoretical missed transplants PMP per year
- 6.4-7.3
Further findings
Potentially missed transplants, 2016-2018
- Potentially missed transplants
- 354
Original publication
Preventable harm in the Canadian organ donation and transplantation system: a descriptive study of missed organ donor identification and referral. Can J Anaesth. Published 29 March 2023. doi:10. 1007/ s12630-023-02399-1
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