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.
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.
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.
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.