z-logo
Premium
Communication Gaps Associated With Donor‐Derived Infections
Author(s) -
Miller R.,
Covington S.,
Taranto S.,
Carrico R.,
Ehsan A.,
Friedman B.,
Green M.,
Ison M. G.,
Kaul D.,
Kubak B.,
Lebovitz D. J.,
Lyon G. M.,
Nalesnik M. A.,
Pruett T. L.,
Teperman L.,
Vasudev B.,
Blumberg E.
Publication year - 2015
Publication title -
american journal of transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.89
H-Index - 188
eISSN - 1600-6143
pISSN - 1600-6135
DOI - 10.1111/ajt.12978
Subject(s) - medicine , psychological intervention , adverse effect , organ procurement , transplantation , intensive care medicine , transmission (telecommunications) , telecommunications , psychiatry , computer science
The detection and management of potential donor‐derived infections is challenging, in part due to the complexity of communications between diverse labs, organ procurement organizations (OPOs), and recipient transplant centers. We sought to determine if communication delays or errors occur in the reporting and management of donor‐derived infections and if these are associated with preventable adverse events in recipients. All reported potential donor‐derived transmission events reviewed by the Organ Procurement and Transplantation Network Ad Hoc Disease Transmission Advisory Committee from January 2008 to June 2010 were evaluated for communication gaps between the donor center, OPO and transplant centers. The impact on recipient outcomes was then determined. Fifty‐six infection events (IEs; involving 168 recipients) were evaluated. Eighteen IEs (48 recipients) were associated with communication gaps, of which 12 resulted in adverse effects in 69% of recipients (20/29), including six deaths. When IEs and test results were reported without delay, appropriate interventions were taken, subsequently minimizing or averting recipient infection (23 IEs, 72 recipients). Communication gaps in reported IEs are frequent, occur at multiple levels in the communication process, and contribute to adverse outcomes among affected transplant recipients. Conversely, effective communication minimized or averted infection in transplant recipients.

This content is not available in your region!

Continue researching here.

Having issues? You can contact us here