90 likes | 91 Vues
Key performance indicators (KPIs) for deceased donor kidney retrieval. Chris Callaghan On behalf of Working Group 3, NORS Review Implementation Board. Renal Transplant Services Meeting, March 2016. Background. WG3 – KPIs for NORS. Role: to develop new KPIs for NORS teams
E N D
Key performance indicators (KPIs) for deceased donor kidney retrieval Chris Callaghan On behalf of Working Group 3, NORS Review Implementation Board Renal Transplant Services Meeting, March 2016
WG3 – KPIs for NORS • Role: to develop new KPIs for NORS teams • 1) Operational (data requirements, availability, mobilisation time, response to clinical incidents), some have £ consequences • 2) Quality (organ-specific), in development, applied from 2017, not £ consequences, for comparison • Discussions with key stakeholders (AGs, NRG) • Presentation to the NORS Implementation Board
Organ-specific KPIs for NORS • Four domains • 1) Organ damage • 2) Quality of communication • 3) Graft outcome • 4) Timeliness of retrieval • Background, WG3 recommendation
Organ-specific KPIs for NORS • Organ damage • Currently coded as ‘moderate’ (requiring surgical repair) or ‘severe’ (unusable) • Funnel plots, by NORS team • WG3 recommendation: continue with the above, await further electronic coding (J Asher)
Organ-specific KPIs for NORS • Quality of communication • By phone, from retrieval to implanting teams • WG3 recommendation: only if concern about usability (damage, perfusion, parenchyma, anatomy, vessels), coding to be developed
Organ-specific KPIs for NORS • Graft outcome • Relevant to retrievals, evidence-based, risk-adjusted, adequate statistical power • WG3 recommendation: not directly relevant to kidney transplantation; decision for transplantation rests with implanting team
Organ-specific KPIs for NORS • Timeliness of retrieval • No clear evidence of impact on graft outcome, but overall quality indicator • WG3 recommendations: % thresholds • KTS to start of perfusion (DCD) • Start of perfusion to nephrectomy (DBD / DCD, multi-organ / kidney-only, first / second) • Nephrectomy to kidney in box (multi-organ / kidney-only)