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Trends in Safety Reporting to UNOS Related to Non-Recovery, Discard, or Delay

A. Doyle,1 R. Urban,2 S. Tlusty,2 M. Marvin,3 E. Hollinger,4 D. Marshman,5 M. Green.6

1Medicine, University of Virginia, Charlottesville, VA
2UNOS, Richmond, VA
3Surgery, Geisinger, Danville, PA
4Surgery, Rush Medical Center, Chicago, IL
5LifeLink Foundation, Norcross, GA
6Surgery, University of Pittsburgh, Pittsburgh, PA.

Meeting: 2018 American Transplant Congress

Abstract number: A375

Keywords: Safety

Session Information

Date: Saturday, June 2, 2018

Session Name: Poster Session A: Quality Assurance Process Improvement

Session Time: 5:30pm-7:30pm

 Presentation Time: 5:30pm-7:30pm

Location: Hall 4EF

Related Abstracts
  • Trends in Safety Reporting to UNOS by Event Type
  • Trends in Transplant Patient Safety Situation Reporting

The UNOS Operations and Safety Committee is charged with reviewing reported patient safety situations, identifying safety gaps, addressing high frequency and high impact events, and to explore ways to disseminate information to the transplant community regarding adverse events to heighten awareness of safety. Total of 166 cases reported, 24 cases that were later excluded when there was no issue identified. All cases that resulted in non-recovery were related to living donor transplants, 5/9 were donor related and 4/9 were recipient related. There were 6 reported cases where organs were discarded, these were found to be related to packaging/shipping (4/6), recovery (2/6), and communication issues (1/6). There were 6 reported cases where the transplant procedure was significantly delayed, these were found to be related to transportation (3/6) and packaging/shipping issues (2/6).

CITATION INFORMATION: Doyle A., Urban R., Tlusty S., Marvin M., Hollinger E., Marshman D., Green M. Trends in Safety Reporting to UNOS Related to Non-Recovery, Discard, or Delay Am J Transplant. 2017;17 (suppl 3).

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To cite this abstract in AMA style:

Doyle A, Urban R, Tlusty S, Marvin M, Hollinger E, Marshman D, Green M. Trends in Safety Reporting to UNOS Related to Non-Recovery, Discard, or Delay [abstract]. https://atcmeetingabstracts.com/abstract/trends-in-safety-reporting-to-unos-related-to-non-recovery-discard-or-delay/. Accessed March 8, 2021.

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