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Operations and Safety Committee

Operations and Safety Committee. Fall 2014. Recent Public Comment Proposals. Proposal to Modify ABO Determination, Reporting, and Verification Significant Post-Public Comment Changes: OPO Organ Recovery Verification:

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Operations and Safety Committee

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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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