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- Title
Doação de órgão e tecidos: utilização de ferramenta de qualidade para a otimização do processo.
- Authors
da Silva Knihs, Neide; Pestana Magalhães, Aline Lima; Santos, Juliana; dos Santos Wolter, Isabela; Schuantes Paim, Sibele Maria
- Abstract
Objective: Identify by means of a management tool causes of losses of possible and potential organs and tissues donation as opportunities of improvements in the organs and tissues donation system. Method: Descriptive and quantitative study developed in three hospitals in the south of the country, which used an instrument of the National Transplant Organization of Spain to trace opportunities of improvements in the scenario of the organs and tissues donation. Tha data collect was carried out in patients' medical records from July and October 2017. The data were analyzed through the descriptive statistics. Results: Of the 321 deaths occurred, 73% were heart arrested and 27% were brain death. In all hospitals the percentage of brain death was higher than 25%. The causes of losses involve hemodynamic alterations 78.3% and medical contraindications 21,7%, with respect to hemodynamic instability 33% related to the hypotension, polyuria 28%, sodium more than 155mEq/l 22% and temperature below 35.5°C in 17%. Conclusion and Implications for practice: The main causes of loss involve the hemodynamic instability and the contraindication, with respect to opportunities of improvements it was possible to measure the causes of the non-validation of the potential organs donor. The management tool used in the study allows the healthcare team to develop strategies directed towards actual problems incurred at the stages of the donation and transplantation process.
- Subjects
SPAIN; BRAIN death; CARDIAC arrest; ORGAN donation; HEALTH status indicators; HEMODYNAMICS; HYPOTENSION; RESEARCH methodology; MEDICAL records; MEDICAL societies; QUALITY assurance; SODIUM; TISSUE banks; QUANTITATIVE research; POLYURIA; DESCRIPTIVE statistics; ACQUISITION of data methodology; DISEASE risk factors
- Publication
Anna Nery School Journal of Nursing / Escola Anna Nery Revista de Enfermagem, 2019, Vol 23, Issue 4, p1
- ISSN
1414-8145
- Publication type
Article
- DOI
10.1590/2177-9465-EAN-2019-0084