Safety, quality & education

Preventable harm in the Canadian organ donation and transplantation system: a descriptive study of missed organ donor identification and referral

Can J AnaesthPublished Descriptive study

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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