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Utilizing Online Training Modules and Flowcharts to Maintain Regulatory Compliance with Abo Verification and Organ Check-In Procedures

L. Adamski1, S. Ceschini2, F. K. Butt3

1Penn State College of Medicine, Hershey, PA, 2Penn State Milton S. Hershey Medical Center, Hershey, PA, 3Penn State Hershey Milton S Medical Center, Hershey, PA

Meeting: 2022 American Transplant Congress

Abstract number: 619

Keywords: Cadaveric organs, Living donor, Safety, Surgery

Topic: Administrative » Administrative » 01 - Quality Assurance Process Improvement & Regulatory Issues

Session Information

Session Name: Quality Assurance Process Improvement & Regulatory Issues

Session Type: Poster Abstract

Date: Saturday, June 4, 2022

Session Time: 5:30pm-7:00pm

 Presentation Time: 5:30pm-7:00pm

Location: Hynes Halls C & D

*Purpose: Meeting the regulatory requirements for ABO Verification and solid Organ Check-In procedures is a constant challenge for transplant programs due to continuous turnover in OR staff and changes in leadership.

*Methods: An online training module educating users on Organ Check-In and ABO Verification requirements was created and assigned to the OR staff. Immediately after completion of the education module, a quiz requiring a passing score of 84% was administered in order to assess comprehension of these important regulatory requirements. Poster-sized flowcharts were also created and served as a quick reference guide, outlining the ABO verification process for living donors and all recipients (Figure 1). These flowcharts were displayed in the operating rooms regularly utilized for living donor and recipient procedures. Portable, laminated versions were available for use in additional operating rooms as needed.

*Results: Individual solid organ program and overall compliance were evaluated before and after implementation (Table 1). Overall compliance increased from 77% to 98% within 2 years of implementation. Individual organ program compliance increased to 95% for the adult kidney transplant program and to 100% for the pediatric kidney, living donor kidney and liver transplant programs by the second year of implementation.

*Conclusions: Utilizing online training modules and flowcharts facilitated our ability to increase our transplant program’s regulatory compliance with ABO Verification and Organ Check-In procedures. These visual guides, training modules and quiz questions can easily be duplicated at any transplant program to assist with the education of new OR staff and improve compliance with these important regulatory requirements.

Table 1: Overall and Individual Program Compliance with ABO Verification and Organ Check-In
Overall Adult Kidney Pediatric Kidney Living Donor Kidney Liver
Pre-Implementation 7/01//2018-6/30/2018 77% 78% 75% 67% 85%
Post-Implementation 7/01/2019-6/30/2020 97% 97% 100% 94% 96%
Post-Implementation 7/01/2020-6/30/2021 98% 95% 100% 100% 100%
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To cite this abstract in AMA style:

Adamski L, Ceschini S, Butt FK. Utilizing Online Training Modules and Flowcharts to Maintain Regulatory Compliance with Abo Verification and Organ Check-In Procedures [abstract]. Am J Transplant. 2022; 22 (suppl 3). https://atcmeetingabstracts.com/abstract/utilizing-online-training-modules-and-flowcharts-to-maintain-regulatory-compliance-with-abo-verification-and-organ-check-in-procedures/. Accessed May 30, 2025.

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