title: Is It Useful to Measure Efficiency Indices of a Deceased-Donor Kidney Transplant Program in One Intensive Care Unit?
abstract: BACKGROUND
  Before 2010, donor detection rate and donor conversion rate at our tertiary level care institution were low. To assess the effectiveness of the implemented organizational changes, an analysis of organizational indicators with the use of the DOPKI (Improving the Knowledge and Practices in Organ Donation) project was conducted.
  
  
  METHODS
  Three groups of DOPKI indicators were used: indicators of the potential for deceased organ donation, indicators on areas for improvement in the deceased donation process, and indicators of program effectiveness. We compared the 3-year period before instituting organizational measures with the 3-year period after the changes.
  
  
  RESULTS
  Significant differences in almost all DOPKI indicators were found. Most importantly, the number of actual donors has increased significantly, pointing to the effectiveness of the organizational measures that we put in place in 2010. In addition, the study highlights the value of the use of DOPKI indicators in one intensive care unit to improve the transplant program on a hospital level.
  
  
  CONCLUSIONS
  We conclude by arguing that despite the lack of a uniform national database, DOPKI indicators could still be useful for improving the quality of donor programs.
authors: Clinic of Nephrology, Clinical Center of Serbia, Belgrade, Serbia; School of Medicine, University of Belgrade, Belgrade, Serbia. Electronic address: mlausevic@gmail.com.
authors: M
authors: M
authors: Lausevic
authors: Institute of Anesthesiology, Clinical Center of Serbia, Belgrade, Serbia.
authors: D
authors: D
authors: Vujadinovic
authors: Institute of Anesthesiology, Clinical Center of Serbia, Belgrade, Serbia.
authors: V
authors: V
authors: Aleksic
authors: University of North Carolina-Chapel Hill, Chapel Hill, North Carolina.
authors: D
authors: D
authors: Lassiter
authors: Clinic of Nephrology, Clinical Center of Serbia, Belgrade, Serbia; School of Medicine, University of Belgrade, Belgrade, Serbia.
authors: R
authors: R
authors: Naumovic
mesh_terms: D006761:Hospitals; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration*; D016030:Kidney Transplantation; D011785:Quality Assurance, Health Care; D055771:Serbia; D014019:Tissue Donors; D009927:Tissue and Organ Procurement / Q000458:organization & administration*