title: Grand rounds to provide feedback on procurement activities.
abstract: BACKGROUND
  The Argentine Society of Transplants has set in motion an activity called Grand Rounds to Provide Feedback on Procurement Activities with the purpose of informing, training, and creating awareness by providing information about the evolution of transplanted patients.
  
  
  OBJECTIVE
  To measure, describe and analyze the impact that the transplant results presented at the rounds had on participants.
  
  
  RESULTS
  One hundred and fifty-eight surveys were conducted. The respondents' average age was 40.06 years (95% confidence interval [CI 95%] 38.39-41.73) including 52.08% women (CI 95%: 43.92%-60.24%); 77.14% physicians (CI 95%: 84.09%-70.18%); 7.85% nurses (CI 95%: 3.4%-12.31%;) and 4.28% surgical nurses and other professional (CI 95%: 0.93%-7.64). When asked how comforted they felt when they learnt about a transplantation, the score prior to the round was 4 (CI 95%: 3.79-4.20) and after it, 4.8 (CI 95%: 4.69-4.90; P < .05). When asked about the transparency of the donation process, the average score before the round was 4.16 (CI 95%: 3.96-4.36) and after it, 4.76 (CI 95%: 4.67-4.86; P < .05). When asked how proactive they considered themselves before, before the average score was 3.54 (CI 95% 3.30-3.78) and post-round, 4.53 (CI 95%: 4.38-4.67; P < .05). When asked if they thought that this activity might be useful for them to manage future donors, 97.41% (CI 95%: 89%-96.98%) of respondents answered affirmatively. The answers to the question whether they thought this activity might increase donation were affirmative in 92.99% of cases; "Don't know", 6.36%; and negative in less than 1%. When consulted about their feelings, the preferred one was "happiness" for 46.82% of respondents; followed by "satisfaction" for 29.36% and "emotion" for 23.80%. The analysis of the open-ended questions revealed that the rounds were perceived as closure of the procurement-transplantation process.
  
  
  CONCLUSIONS
  This widely accepted tool was viewed as a vehicle to interconnect links in the work process from organ procurement to transplantation.
authors.affiliation: Unidad de Nefrología y Trasplante Renal. Hospital General de Agudos Dr. Cosme Argerich GCBA, Buenos Aires, Argentina. rubenschiavelli@yahoo.com.ar
authors.forename: R
authors.initials: R
authors.lastname: Schiavelli
authors.forename: S
authors.initials: S
authors.lastname: Fioretti
authors.forename: G
authors.initials: G
authors.lastname: Martinez Martin Stella
authors.forename: M
authors.initials: M
authors.lastname: Ponte
authors.forename: D
authors.initials: D
authors.lastname: Merino
mesh_terms: D001118:Argentina; D001364:Awareness; D005246:Feedback; D006801:Humans; D009927:Tissue and Organ Procurement