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Proposal Modifications for Organ Donation Operations and Safety Committee Fall 2014

This document outlines recent public comment proposals for modifying ABO determination, reporting, and verification processes in the organ donation system. It includes significant post-public comment changes, alignment with CMS guidelines, and updates for deceased donor blood type determination. The review proposals aim to enhance safety data sharing and improve patient safety portal. For inquiries, contact Theresa Daly, Committee Chair, or Susan Tlusty, Committee Liaison.

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Proposal Modifications for Organ Donation Operations and Safety Committee Fall 2014

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  1. Operations and Safety Committee Fall 2014

  2. Recent Public Comment Proposals Proposal to Modify ABO Determination, Reporting, and Verification • Significant Post-Public Comment Changes: • OPO Organ Recovery Verification: Limit verification to cases “when the intended recipient is known” to align with CMS • OPO Deceased Donor Blood Type Determination: Eliminate one blood draw, two labs option for deceased donor blood determination to align with CMS • Style changes: Verification requirements put in separate sections (OPO, Transplant Hospital, and Living Donor Recovery Hospital). • Board review November 2014

  3. Recent Public Comment Proposals Proposal to Make Subtyping References Consistent: • Subtyping terminology references will be same style: • Board review November 2014

  4. Develop Process for Review and Sharing of Safety Data • Continued review of safety situation reports • Report results available on OPTN website and Transplant Pro • Enhancements to the Improving Patient Safety Portal (Patient Safety Situations) • Will provide data on organs not recovered, increased cold ischemic time (CIT) and organ discards • Working with MPSC to receive education topic referrals routinely

  5. Overall Trends in Patient Safety Situation Reporting

  6. Reporting by Category (2012 – Jun 2014)

  7. Most common events reported with organ not transplanted

  8. Questions? • Theresa Daly, MS, FNP Committee Chair THD9003@NYP.ORG • Name Region X Representative Email address • Susan Tlusty Committee Liaison susan.tlusty@unos.org

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