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Ms Wenshi Jiang

Ms Wenshi Jiang

Ms Wenshi Jiang

Designation

Director of Scientific Committee

Institution

Shanxi Provincial Organ Procurement and Allocation Center

Qualification

  • University of Oxford Master of Biostatistics
  • University of Barcelona Master in Donation & Transplantation of Organs, Tissues and Cells

Special field of interest

-

Abstract

Title: Practicing Telemedicine in Organ Donation: Efficiency in Coordination
Body: BACKGROUND The power of Artificial Intelligence (AI) has been proved, especially in the COVID-19 pandemic. This study aims at building an AI solution to help enhance the efficiency and quality in organ donation and transplantation. METHODS An intelligence platform was created to meet the needs from the daily practice of organ donation. This platform is functioning for procedures monitoring, staff tracking, data reporting , statistical analysis, education & information dissemination, professional network building and data storage for scientific research. RESULTS Since launched in 4 OPOs, the number of potential donors reported has increased by 115%, and the utilization rate of organs has been increased from lower than 70% to 74%. Meanwhile, personal time consumption time and risks of exposed to COVID-19 were reduced while the number of organ donation has been remained. AI technologies have been applied to reduce the burden of manual input and to better improve the efficiency of the workflow, including: 1) GPS combined with 5G technology enable to collect the location in real tim so as to assign and track the current progresse. 2) Speech recognition is used to obtain the donor diagnosis and treatment information by speech processing. 3) OCR technology is used to read and input the patient's laboratory test reports. 4) Visualization technology is used to dynamically present the results of organ traceability and allocation. 5) Media communication tools were embedded where patient & organ assessment data can be shared safely. 6) E-Training tools & BLOG modules have been embedded into the platform. CONCLUSIONS The use of AI technologies to improve efficacy and safety during the organ donation procedures has been demonstrated by the positive results shown in the study.
  (176.32 KB)
Title: Development of Organ Donation Quality Management in China
Body: BACKGROUND The total number of deased organ donation (OD) exceed 5,000 in 2020 in China, accounting for 14.5% of the global deceased OD. Recently, the natiaonal health commission of P.R.C. has developed national strategies in ehancing the quality of organ procurment service & transplant patients safety. In this study, we attempt to construct a quality management system & the coresponding working network, of which combining the critical pathway of organ donation with the daily practice in China. METHODS A voluntary study was launched at 7 OPOs in China with a total donation service area of 159.2 million in population.Questionnaires drafted based on the national quality criteria were used for diagnosis analysis at the first step. Key persons from the participating OPOs and donor hospitals (DH) were interviewed to identify and correct the areas for improvment. Secondly, a informatic platform was developed and implemented locally at 4 OPOs for organ donation performance monitoring continuously. The OPO quality reports have been generated every year based on the data collected by the quality system. RESULTS The overall compliance rate to the quality standards was 69% for OPOs and 55% for ICUs being interviewed. The local quality system was established separately for OPO and DH. In total, 115 criteria (97 for OPO & 73 for DH). 26 quality indicators (26 for OPO and 18 DH) were developed to enable continuous improvement. As an example, by analyzing the data of Shanxi OPO, the number of OD of Shanxi OPO increased from 35 cases (PMP: 0.9) in 2015 to 126 donors (PMP: 3.6) in 2021, with an increase of 260%. The incresing trend remains in shanxi even under the COVID-19 pandanic, whlie the annual numuber of the country deceased in 2020. CONCLUSIONS At present, the development of organ donation & transplantation in China is undergoing a transition from fast growth in quantity and scale to promoting improvement in quality. Regonal/national guideline is essential for quality management in organ donation├??├?┬»├??├?┬╝? while its implementation should be embeded by the use of imformatic system and AI technologies.
  (181.77 KB)

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