Operations and Safety Committee Fall 2014. Recent Public Comment Proposals Proposal to Modify ABO Determination, Reporting, and Verification  Did not.

Slides:

Advertisements

Similar presentations

OPTN OPO Committee Spring 2012 Regional Meeting Update.

Advertisements

Kidney Transplantation Committee Update John J. Friedewald, MD Committee Chair Meetings.

Modify ABO Subtyping References for Consistency Operations and Safety Committee November 12-13, 2014.

Operations and Safety Committee Ms. Theresa Daly

Membership & Professional Standards Committee (MPSC)

Ad Hoc Disease Transmission Advisory Committee Spring 2015.

Histocompatibility Bylaws Rewrite: Phase 2 Histocompatibility Committee Fall 2014.

Proposal to Modify ABO Determination, Reporting, and Verification Requirements Operations and Safety Committee Spring 2015.

November 12, 2014 St. Louis, Missouri OPTN Strategic Planning Feedback Board of Directors.

Greater Consistency in Candidate and Deceased Donor HLA Typing Requirements Across Organ Types Histocompatibility Committee Spring 2014.

Addressing the Requirements Outlined in the HIV Organ Policy Equity Act Organ Procurement Organization Committee Spring 2015.

1 Operations and Safety Committee Update Fall 2015.

Authorizing Collective Patient and Wait Time Transfers Operations and Safety Committee Fall 2014.

1 Region 10 Meeting Tim Taber, MD Regional Councillor.

Pediatric Training and Experience Requirements in the Bylaws OPTN/UNOS Board of Directors Eileen Brewer, MD, Chair William Mahle, MD, Vice Chair November.

Operations and Safety Committee Update Theresa Daly MS, FNP.

1 Addressing the Term “Foreign Equivalent” in OPTN/UNOS Bylaws Membership and Professional Standards Committee Fall 2015.

Addressing the Requirements Outlined in the HIV Organ Policy Equity Act Organ Procurement Organization Committee Fall 2014.

Expanding HLA Typing Requirements (Resolution 10) Histocompatibility Committee Dolly Tyan, PhD Chair.

1 Revising Kidney Paired Donation Pilot Program Priority Points Kidney Transplantation Committee Fall 2015.

1 Proposal to Revise Facilitated Pancreas Allocation Policy Pancreas Transplantation Committee Fall 2015.

1 Proposal to Update the HLA Equivalency Tables Histocompatibility Committee Fall 2015.

Proposal to Reduce the Reporting Requirements for the Deceased Donor Registration (DDR) Form Organ Procurement Organization Committee Fall 2014.

Membership & Professional Standards Committee (MPSC) Spring 2014.

OPTN Proposal to Require Extra Vessels Disposition Reporting to the OPTN in Five Days of Transplant or Disposal Sponsored by the Operations and Safety.

Operations and Safety Committee Update Report to Board of Directors June , 2012 Phil Camp, Jr., MD - Chair.

1 Proposal to Increase Committee Terms to Three Years Policy Oversight Committee (POC) Fall 2015.

1 Proposal to Modify Pediatric Lung Allocation Policy Thoracic Organ Transplantation Committee Fall 2015.

Operations and Safety Committee Spring  Sharing Patient Safety Data/Lessons Learned  Analysis of patient safety situation data reports  Working.

Liver and Intestinal Organ Transplantation Committee Update David Mulligan, MD, Chair OPTN/UNOS Board of Directors Meeting November 12-13, 2014.

1 Standardize an Organ Coding System for Tracking of Organs: Requirements for OPO TransNet SM Use Operations and Safety Committee Spring 2016.

Operations and Safety Committee Update Spring 2015.

1 Kidney Transplantation Committee Spring Recent Public Comment Proposals  OPTN Kidney Paired Donation (KPD) Priority Points  Changes apply.

Operations and Safety Committee Spring  Sharing patient safety data/lessons learned  Analyzing patient safety situation data reports  Working.

1 Improving Post-Transplant Communication of New Donor Information Ad Hoc Disease Transmission Advisory Committee Spring 2016.

1 Membership and Professional Standards Committee Fall 2015.

Region 2 Meeting Michael Shapiro, MD.  Discuss regional business  Provide updates on OPTN/UNOS committee activities and projects  Discuss and comment.

1 Infectious Disease Verification to Enhance Patient Safety Operations and Safety Committee.

Minority Affairs Committee

Membership & Professional Standards Committee (MPSC)

Organ Procurement Organization Committee Fall 2014

OPO Committee Update Spring 2017.

Guidance for ABO Subtyping Organ Donors for Blood Groups A and AB

Ad Hoc Disease Transmission Advisory Committee (DTAC) Update

Operations and Safety Committee Update

Proposal to Modify Sterile Internal Vessels Label

Proposal to Require the Reporting of Aborted Living Donor Organ Recovery Procedures (Resolution 19) Living Donor Committee Mary Amanda Dew, PhD.

OPTN/UNOS Thoracic Organ Transplantation Committee

OPTN/UNOS Ethics Committee

Operations and Safety Committee

Vascularized Composite Allograft (VCA) Transplantation Committee

Membership & Professional Standards Committee (MPSC)

Liver and Intestinal Organ Transplantation Committee

Operations and Safety Committee

OPO Committee Fall 2014.

Living Organ Donation by Persons with Certain Fatal Diseases who Meet the Criteria to be Living Organ Donors Ethics Committee.

OPTN/UNOS Living Donor Committee

Informed Consent for Kidney Paired Donation

Pancreas Transplantation Committee

Vascularized Composite Allograft Transplantation Committee Fall 2014

Living Donor Committee

Living Donor Committee

Operations and Safety Committee Spring 2014

Vascularized Composite Allograft (VCA) Transplantation Committee

Operations and Safety Committee Spring 2014

Patient Affairs Committee

Region 8 Meeting Harvey Solomon, MD

Vascularized Composite Allograft (VCA) Transplantation Committee

Membership & Professional Standards Committee (MPSC)

Vascularized Composite Allograft (VCA) Transplantation Committee

Presentation transcript:

Operations and Safety Committee Fall 2014

Recent Public Comment Proposals Proposal to Modify ABO Determination, Reporting, and Verification  Did not pass at Board of Directors meeting in November 2014  Questions regarding recovery verification (deceased donor) and role of recovery surgeon  Will revise and send back out for public comment in January 2015

Recent Public Comment Proposals Proposal to Make Subtyping References Consistent:  Subtyping terminology references will be same style: CurrentProposedPolicy found to be non-A1 or non-A1B found to be blood type A, non- A 1 or blood type AB, non-A 1 B 2.6.B to a blood type A2 or A2B to a blood type A, non-A 1 or blood type AB, non-A 1 B 13.7.B donor to be non-A1 (negative for A1) or non- A1B (negative for A1B) donor to be blood type A, non- A 1 or blood type AB, non-A 1 B 14.4.A.i

 Continued review of safety situation reports  Report results available on OPTN website and Transplant Pro  Enhancements to the Improving Patient Safety Portal (Patient Safety Situations)  Will provide data on organs not recovered, increased cold ischemic time (CIT) and organ discards  Working with MPSC to receive education topic referrals routinely Develop Process for Review and Sharing of Safety Data

Overall Trends in Patient Safety Situation Reporting

Reporting by Category (2012 – Jun 2014)

Events related to Organ Not Tx’d (2012-Jun 2014) Event Frequency and Organ Not Tx’d High Frequency Increased Frequency Selected as Top Priority communication issue - delayed communication 9Yes communication issue - inaccurate/insufficient donor or organ/extra vessels information 8Yes recovery procedure/process issue - injury to organ or extra vessels 7Yes living donor issue - organ recovered but not transplanted 5Yes packaging/shipping issue - switched laterality - kidneys* 5Yes recovery procedure/process issue - poor donor management 5 Most common events reported with organ not transplanted

 Theresa Daly, MS, FNP Committee Chair  Name Region X Representative address  Susan Tlusty Committee Liaison Questions?