Interim results of a national test of the rapid assessment of hospital procurement barriers in donation (RAPiD).
Interim results of a national test of the rapid assessment of hospital procurement barriers in donation (RAPiD).
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DOI：
10.1111/j.1600-6143.2012.04220.x
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发表时间：
2012-11
期刊：
影响因子：
--
通讯作者：
Siminoff LA
中科院分区：
文献类型：
--
作者：
Traino HM;Alolod GP;Shafer T;Siminoff LA
器官捐献仍然是一个重大的公共卫生挑战，在美国有超过114000人在等待名单上。除其他因素外，现有的研究强调，需要改善医院卫生保健提供者（HCP）对器官采购组织（OPO）的潜在捐赠者的识别和及时转诊。我们实施了一项全国性的捐赠医院采购障碍快速评估（RAPiD）测试，以确定器官捐赠和患者转诊流程的资产和障碍;评估医院与OPO的关系，并为改善这些流程提供量身定制的建议。在与7家OPO合作后，以直接观察和采访2358名HCP的形式在70家具有高供体潜力的医院收集了数据。我们发现，HCP的捐赠态度和知识是高的，但缺乏使用标准的转诊标准。与重症监护病房的其他工作人员相比，医生和急诊科工作人员的捐赠相关态度、知识和行为存在显著差异。此外，虽然OPO工作人员普遍被视为积极的，他们往往被视为局外人，而不是医疗团队的成员。建议改善转介和捐赠过程进行了讨论。
Organ donation remains a major public health challenge with over 114 000 people on the waitlist in the United States. Among other factors, extant research highlights the need to improve the identification and timely referral of potential donors by hospital health-care providers (HCPs) to organ procurement organizations (OPOs). We implemented a national test of the Rapid Assessment of hospital Procurement barriers in Donation (RAPiD) to identify assets and barriers to the organ donation and patient referral processes; assess hospital–OPO relationships and offer tailored recommendations for improving these processes. Having partnered with seven OPOs, data were collected at 70 hospitals with high donor potential in the form of direct observations and interviews with 2358 HCPs. We found that donation attitudes and knowledge among HCPs were high, but use of standard referral criteria was lacking. Significant differences were found in the donation-related attitudes, knowledge and behaviors of physicians and emergency department staff as compared to other staff in intensive care units with high organ donor potential. Also, while OPO staff were generally viewed positively, they were often perceived as outsiders rather than members of healthcare teams. Recommendations for improving the referral and donation processes are discussed.
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影响因子：
8
作者：
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