Advanced search
1 file | 999.98 KB

Development of key interventions and quality indicators for the management of an adult potential donor after brain death: a RAND modified Delphi approach

Author
Organization
Abstract
Background: A substantial degree of variability in practices exists amongst donor hospitals regarding the donor detection, determination of brain death, application of donor management techniques or achievement of donor management goals. A possible strategy to standardize the donation process and to optimize outcomes could lie in the implementation of a care pathway. The aim of the study was to identify and select a set of relevant key interventions and quality indicators in order to develop a specific care pathway for donation after brain death and to rigorously evaluate its impact. Methods: A RAND modified three-round Delphi approach was used to build consensus within a single country about potential key interventions and quality indicators identified in existing guidelines, review articles, process flow diagrams and the results of the Organ Donation European Quality System (ODEQUS) project. Comments and additional key interventions and quality indicators, identified in the first round, were evaluated in the following rounds and a subsequent physical meeting. The study was conducted over a 4-month time period in 2016. Results: A multidisciplinary panel of 18 Belgian experts with different relevant backgrounds completed the three Delphi rounds. Out of a total of 80 key interventions assessed throughout the Delphi process, 65 were considered to contribute to the quality of care for the management of a potential donor after brain death; 11 out of 12 quality indicators were validated for relevance and feasibility. Detection of all potential donors after brain death in the intensive care unit and documentation of cause of no donation were rated as the most important quality indicators. Conclusions: Using a RAND modified Delphi approach, consensus was reached for a set of 65 key interventions and 11 quality indicators for the management of a potential donor after brain death. This set is considered to be applicable in quality improvement programs for the care of potential donors after brain death, while taking into account each country's legislation and regulations regarding organ donation and transplantation.
Keywords
Delphi technique, Key interventions, Quality indicators, Critical care, Deceased donation, Donation after brain death, ORGAN DONOR, CARE PATHWAYS, GUIDELINES, TRANSPLANTATION, DONATION

Downloads

  • s12913-018-3386-1.pdf
    • full text
    • |
    • open access
    • |
    • PDF
    • |
    • 999.98 KB

Citation

Please use this url to cite or link to this publication:

Chicago
Hoste, Pieter, Eric Hoste, Patrick Ferdinande, Koenraad Vandewoude, Dirk Vogelaers, Ann Van Hecke, Xavier Rogiers, Kristof Eeckloo, and Kris Vanhaecht. 2018. “Development of Key Interventions and Quality Indicators for the Management of an Adult Potential Donor After Brain Death: a RAND Modified Delphi Approach.” Bmc Health Services Research 18.
APA
Hoste, P., Hoste, E., Ferdinande, P., Vandewoude, K., Vogelaers, D., Van Hecke, A., Rogiers, X., et al. (2018). Development of key interventions and quality indicators for the management of an adult potential donor after brain death: a RAND modified Delphi approach. BMC HEALTH SERVICES RESEARCH, 18.
Vancouver
1.
Hoste P, Hoste E, Ferdinande P, Vandewoude K, Vogelaers D, Van Hecke A, et al. Development of key interventions and quality indicators for the management of an adult potential donor after brain death: a RAND modified Delphi approach. BMC HEALTH SERVICES RESEARCH. 2018;18.
MLA
Hoste, Pieter, Eric Hoste, Patrick Ferdinande, et al. “Development of Key Interventions and Quality Indicators for the Management of an Adult Potential Donor After Brain Death: a RAND Modified Delphi Approach.” BMC HEALTH SERVICES RESEARCH 18 (2018): n. pag. Print.
@article{8569635,
  abstract     = {Background: A substantial degree of variability in practices exists amongst donor hospitals regarding the donor detection, determination of brain death, application of donor management techniques or achievement of donor management goals. A possible strategy to standardize the donation process and to optimize outcomes could lie in the implementation of a care pathway. The aim of the study was to identify and select a set of relevant key interventions and quality indicators in order to develop a specific care pathway for donation after brain death and to rigorously evaluate its impact. 
Methods: A RAND modified three-round Delphi approach was used to build consensus within a single country about potential key interventions and quality indicators identified in existing guidelines, review articles, process flow diagrams and the results of the Organ Donation European Quality System (ODEQUS) project. Comments and additional key interventions and quality indicators, identified in the first round, were evaluated in the following rounds and a subsequent physical meeting. The study was conducted over a 4-month time period in 2016. 
Results: A multidisciplinary panel of 18 Belgian experts with different relevant backgrounds completed the three Delphi rounds. Out of a total of 80 key interventions assessed throughout the Delphi process, 65 were considered to contribute to the quality of care for the management of a potential donor after brain death; 11 out of 12 quality indicators were validated for relevance and feasibility. Detection of all potential donors after brain death in the intensive care unit and documentation of cause of no donation were rated as the most important quality indicators. 
Conclusions: Using a RAND modified Delphi approach, consensus was reached for a set of 65 key interventions and 11 quality indicators for the management of a potential donor after brain death. This set is considered to be applicable in quality improvement programs for the care of potential donors after brain death, while taking into account each country's legislation and regulations regarding organ donation and transplantation.},
  articleno    = {580},
  author       = {Hoste, Pieter and Hoste, Eric and Ferdinande, Patrick and Vandewoude, Koenraad and Vogelaers, Dirk and Van Hecke, Ann and Rogiers, Xavier and Eeckloo, Kristof and Vanhaecht, Kris},
  issn         = {1472-6963},
  journal      = {BMC HEALTH SERVICES RESEARCH},
  language     = {eng},
  pages        = {14},
  title        = {Development of key interventions and quality indicators for the management of an adult potential donor after brain death: a RAND modified Delphi approach},
  url          = {http://dx.doi.org/10.1186/s12913-018-3386-1},
  volume       = {18},
  year         = {2018},
}

Altmetric
View in Altmetric
Web of Science
Times cited: