Many states require hospitals to complete a form for each patient who dies, reporting the patient's organ and tissue donation eligibility status, whether a request was made, and the outcome of the request.
A study was conducted to determine the accuracy of state-required forms in documenting organ eligibility and procurement activities.
Four Level 1 trauma hospitals in northeast Ohio were sampled by using a weekly review of all deaths.
Detailed chart reviews were conducted on a total of 2,270 deaths occurring during a six-month period in 1997, interviews with health care providers and staff members at organ procurement organizations were held, and records of the local Ohio Department of Health (ODH) were reviewed.
Agreement between these data sources and the ODH form were compared to evaluate whether the ODH form correctly documented patients'eligibility status, occurence of a donation request, and donation request outcome.
Descriptive statistics and sensitivity and specificity analyses were completed.
The quality of the information provided through these forms was variable.
Problems included missing, inaccurate, and contradictory data.
State reporting forms overrepresented the size of the organ donor pool by about four times, and requests for donation and consent to donation were inaccurately reported.
Hospital form completion rates ranged from 12% to 82,6%. (...)
Mots-clés Pascal : Ethique, Chirurgie, Intervention, Traitement, Qualité, Méthodologie, Information biomédicale, Spécificité, Validité, Epidémiologie, Méthode étude, Enquête, Don organe, Comportement, Santé, Organe, Transplantation, Promotion santé, Politique sanitaire, Milieu hospitalier, Urgence, Service hospitalier, Organisation hospitalière
Mots-clés Pascal anglais : Ethics, Surgery, Operation, Treatment, Quality, Methodology, Biomedical information, Specificity, Validity, Epidemiology, Investigation method, Survey, Organ donation, Behavior, Health, Organ, Transplantation, Health promotion, Health policy, Hospital environment, Emergency, Hospital ward, Hospital organization
Notice produite par :
ORS Auvergne - Observatoire Régional de la Santé d'Auvergne
Code Inist : 002B30A11. Création : 31/05/1999.