Case length Matthew Bock. 43% 18% 23% Serology testing Evaluation phase Declaration, consent,...
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Serology testing Evaluation phase Declaration, consent, med-soc, diagnostic testing Allocation phase Recovery phase Match runs, tissue typing, more diagnostics Organ offers Transportation and surgical recovery Three phases of an organ donation
Transcript of Case length Matthew Bock. 43% 18% 23% Serology testing Evaluation phase Declaration, consent,...
Case lengthCase length
Matthew BockMatthew Bock
10:59
15:4018:27
22:39
0:00
6:00
12:00
18:00
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2006 2007 2008 2009
Case Length Interval: Brain Death Time to OR Incision Time
Overall Median
43%
18%
23%
Serology testing
Evaluation phase
Declaration, consent, med-soc, diagnostic testing
Allocation phase
Recovery phase
Match runs, tissue typing, more diagnosticsOrgan offers
Transportation and surgical recovery
Three phases of anorgan donation
Serology testing
Evaluation phase
Declaration, consent, med-soc, diagnostic testing
Allocation phase
Recovery phase
Match runs, tissue typing, more diagnosticsOrgan offers
Transportation and surgical recovery
Three phases of anorgan donation
New serology process
Serology testing
Evaluation phase
Declaration, consent, med-soc, diagnostic testing
Allocation phase
Recovery phase
Match runs, tissue typing, more diagnosticsOrgan offers
Transportation and surgical recovery
Three phases of anorgan donation
Recruitment:Serial echo protocolLung recruitment
New serology process
Serology testing
Evaluation phase
Declaration, consent, med-soc, diagnostic testing
Allocation phase
Recovery phase
Match runs, tissue typing, more diagnosticsOrgan offers
Transportation and surgical recovery
Three phases of anorgan donation
Recruitment:Serial echo protocolLung recruitment
New serology process
New national organoffer procedure
Serology testing
Evaluation phase
Declaration, consent, med-soc, diagnostic testing
Allocation phase
Recovery phase
Match runs, tissue typing, more diagnosticsOrgan offers
Transportation and surgical recovery
Three phases of anorgan donation
Recruitment:Serial echo protocolLung recruitment
New serology process
New national organoffer procedure
Increased emphasison thoracic organs
Serology testing
Evaluation phase
Declaration, consent, med-soc, diagnostic testing
Allocation phase
Recovery phase
Match runs, tissue typing, more diagnosticsOrgan offers
Transportation and surgical recovery
Three phases of anorgan donation
Recruitment:Serial echo protocolLung recruitment
New serology process
New national organoffer procedure
Increased emphasison thoracic organs
New HLA testingfor kidney match
Evaluation phase Allocation phase Recovery phase
Serial progression
One stage follows the other
Evaluation phase
Allocation phase
Recovery phase
Three phases inparallel (overlap)
Case moves fromreferral to active
Serology testing
Pt goes to the OR
Evaluation phase
Declaration, consent, med-soc, diagnostic testing
1st match run
Allocation phase
Recovery phase
Match runs, tissue typing, more diagnosticsOrgan offers
Set theOR time
Set-up, transportation and recovery
First:The duration of each phase should be limited by it’s longest unalterablefactor.
Second:Phases should be overlapped as much as possible rather than strungtogether.
Third:Pt families and hospital staff should have expectations that match thereality of case length.
3 major themes in case length reduction
The big picture fororgan donation case length
