Articles tagged "Safety"

2018 American Transplant Congress
Evaluation of Allergy to Tacrolimus in Kidney Transplant Candidates and Recipients with a History of Macrolide Antibiotic Allergy
J. Trofe-Clark,^1,2 M. Doshi,³ O. Fadugba,⁴ M. Lim.²
¹Pharmacy Services, Hospital of Univ. of Pennsylvania, Philadelphia, PA; ²Renal Division, Perelman School of Medicine, Univ. of Pennsylvania, Philadelphia, PA; ³Temple Univ. School of Pharmacy, Philadelphia, PA; ⁴Pulmonary Allergy Critical Care Division, Perelman School of Medicine, Univ. of Pennsylvania, Philadelphia, PA.
Background: Tacrolimus (TAC) is considered a drug of choice for maintenance immunosuppression among kidney transplant (KTX) recipients. Because of structural resemblances between macrolide antibiotics (azithromycin,…
2018 American Transplant Congress
Opioid Use Following Ultrasound-Guided Transverse Abdominis Plane Blocks in Living Donor Nephrectomy Patients
E. Henricksen,¹ D. Quan,¹ C. Freise.²
¹Department of Pharmacy, University of California, San Francisco, San Francisco, CA; ²Department of Surgery, University of California, San Francisco, San Francisco, CA.
Purpose: Post-operative pain management is of major concern in living donor nephrectomy patients. Opioids are often used for post-surgical pain, however they are associated with…
2018 American Transplant Congress
Trends in Safety Reporting to UNOS by Event Type
A. Doyle,¹ S. Tlusty,² R. Urban,² M. Marvin,³ E. Hollinger,⁵ D. Marshman,⁴ M. Green.⁵
¹Medicine, University of Virginia, Charlottesville, VA; ²UNOS, Ichmond, VA; ³Surgery, Geisinger, Davville, PA; ⁴LifeLink Foundation, Norcross, GA; ⁵Surgery, University of Pittsbugh, Pittsburgh, PA; ⁶Surgery, Rush Medical Center, Chicago, IL.
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…
2018 American Transplant Congress
Outcomes of Retroperitoneoscopic Live Donor Nephrectomy (RPLDN): Experience of 1100 Cases at a Single Center
K. Omoto,^1,2 M. Okumi,¹ Y. Kakuta,¹ H. Noguchi,¹ K. Unagami,¹ M. Inui,¹ H. Ishida,¹ K. Tanabe.¹
¹Department of Urology, Tokyo Women's Medical University, Tokyo, Japan; ²Department of Transplant Surgery, Toda Chuo General Hospital, Toda, Japan.
INTRODUCTION: Laparoscopic donor nephrectomy is a standard method of donor nephrectomy. We have tried to establish the technique of pure retroperitoneoscopic live donor nephrectomy (RPLDN)…
2018 American Transplant Congress
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.
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…
2018 American Transplant Congress
An Initial Experience with the Endowrist Robotic Endostapling Device for Renal Donor Nephrectomy
M. Tan, H. Pollinger.
Piedmont Transplant Institute, Atlanta.
Introduction:Robot assisted donor nephrectomy has been used an advancement to standard laparoscopic techniques. However, limitations in available instrumentation reduce the efficiency of the procedure especially…
2018 American Transplant Congress
Multidisciplinary Transplant Rounds: A Step to Improved Team and Patient Satisfaction
K. Sigafus,¹ E. LaMura,¹ M. Massimiani,¹ C. Chiang,² K. Nicoll,² M. Yoho,³ M. Bleicher,² S. Nazarian.²
¹Transplant, Bariatric Surgery & Orthopedic Oncology, Hospital of the University of Pennsylvania, Philadelphia, PA; ²Penn Transplant Institute, Hospital of the University of Pennsylvania, Philadelphia, PA; ³Quality, Hospital of the University of Pennsylvania, Philadelphia, PA.
BackgroundMultidisciplinary communication (MDC) is critical for transplant patient (TXP) safety. We hypothesized that formal, scripted multidisciplinary rounds (MDR) would yield improved MDC HCAHPS scores (Hospital…
2018 American Transplant Congress
Involvement of Additional Surgeons in Robot Assisted Kidney Transplantation Does Not Affect Surgical Outcomes, in the Context of a Structured Robotic Surgery Program. Results from a CUSUM Analysis
F. Gheza,¹ C. Di Bella,¹ P. Giulianotti,¹ J. Oberholzer,² E. Benedetti,¹ I. Tzvetanov.¹
¹Surgery, University of Illinois, Chicago, IL; ²Surgery, University of Virginia, Virginia, VA.
Robot assisted kidney transplant (RAKT) is a good option for obese recipients. Our group first performed this procedure in 2009 and nowadays the experience includes…
2018 American Transplant Congress
Four Eyes Are Better Than Two: Improving Laboratory Report Quality Control
S. Dionne,² K. Klama,² H. Rashid,² A. Niedzinski.²
¹Quality Assurance, LABS, Inc., Centennial, CO; ²Infectious Disease, LABS, Inc., Philadelphia, PA.
Background: Our STAT donor-screening lab implemented a new LIMS that is used to manage patient orders, testing and reporting. We intentionally customized the LIMS to…
2018 American Transplant Congress
The Impact of Conversion from Immediate Release Twice-Daily Tacrolimus (Prograf®) to Once-Daily Extended Release Tacrolimus (Envarsus®) in Liver Transplant Recipients
M. Del Gaudio,¹ M. Cescon,¹ M. Ravaioli,¹ V. Bertuzzo,¹ C. Zanfi,¹ M. Serenari,¹ L. Maroni,¹ C. Morelli,² A. Pinna.¹
¹Organ Insufficiency and Transplantation, S.Orsola Hospital General Surgery and Transplantation Unit Prof. A.D. Pinna, Bologna, Italy; ²Organ Insufficiency and Transplantation, S. Orsola Hospital Organ Insufficiency and Internal Medicine Morelli, Bologna, Italy.
The safety and efficacy of substitution with a novel once-daily extended-release tacrolimus (LCPT;Envarsus®)to immediate-release tacrolimus (IR-Tac, Prograf®) twice daily in liver transplant patients have not…