title: Transplant certification and quality assessment: time to take the front line?
abstract: In the beginning of the past decade, a series of highly publicized events led the general public to question the ability of the transplant community to effectively police itself. Common to the events was the perception that insufficient regulation of the transplant community allowed both unintentional errors and, rarely, purposeful violations of policy, to affect the safety and justice of organ allocation and transplant practice. The goal of this article is to discuss the resulting regulatory responses to these events and to highlight one transplant center's experience with the current external review process. The potential benefits of using process control charts to prospectively monitoring a center's outcomes, as well as the benefits of implementing procedures that ensure the quality of publically reported data, are described. Specifically, the critical need for each center to understand the components, limitations, and implications of public outcome reporting and to define processes that promote real time self-evaluation and quality improvement are demonstrated.
authors.affiliation: School of Medicine, Saint Louis University Medical Center, MO, USA.
authors.forename: Janet E
authors.initials: JE
authors.lastname: Tuttle-Newhall
authors.forename: Krista L
authors.initials: KL
authors.lastname: Lentine
authors.forename: David
authors.initials: D
authors.lastname: Axelrod
authors.forename: Landon V
authors.initials: LV
authors.lastname: Ware
authors.forename: Jennifer
authors.initials: J
authors.lastname: Milton
authors.forename: Mark A
authors.initials: MA
authors.lastname: Schnitzler
mesh_terms: D014487:Centers for Medicare and Medicaid Services, U.S.; D002568:Certification; D003625:Data Collection / Q000592:standards; D006801:Humans; D016030:Kidney Transplantation / Q000331:legislation & jurisprudence / Q000592:standards*; D016031:Liver Transplantation / Q000331:legislation & jurisprudence / Q000592:standards*; D019300:Medical Errors / Q000517:prevention & control; D008923:Missouri; D019982:Organizational Case Studies; D010043:Outcome and Process Assessment, Health Care / Q000592:standards*; D011785:Quality Assurance, Health Care; D009927:Tissue and Organ Procurement / Q000331:legislation & jurisprudence / Q000592:standards*; D014481:United States