1. Operations and Safety Committee Spring 2014

2.  Sharing patient safety data/lessons learned  Analyzing patient safety situation data reports  Working with MPSC to receive routine referrals on safety topics  Educate members through:  Patient Safety Alert  Patient Safety News  Regional meeting updates  Instructional events Ongoing Committee Initiatives

3. Complete field testing Application development Beta testing BOD Presentation Ongoing Committee Initiatives Mar 2014 April-Aug 2014Sept 2014Nov 2014  Electronic Tracking and Transport Project (ETT)

4.  Enhancements to patient safety situation reporting  Release date: May 29, 2014  Recorded system training available in Secure Enterprise  Any situation that may impact donation or transplantation  Improved options to describe event type and impact  Data are used to identify trends, patterns, and gaps to educate members Ongoing Committee Initiatives

5. Living Donor Evaluation Safety Issue Policy 2013 PHS Guideline Overlooked test result may lead to: preventable disease transmission near-miss disease transmission Specifies required tests, evaluations, exclusions Does not address process of reviewing results/determining approvals HIV, HBV, and HCV testing “as close as possible to the date of the donor operation, but at least within the 28-day time period prior to surgery.”

6. Suggestions to minimize risk: Living Donor Evaluation Create living donor evaluation checklist Develop selection comm. evaluation procedure Implement “final” review before surgery date Add serologies to hard- stop on surgery day Conduct double verification when reviewing labs Document, document, document!

7.  Jean Davis Committee Chair jean.davis@lifelinkfound.org  Name Region # Representative Email  Susan Tlusty Committee Liaison susan.tlusty@unos.org Questions?