title: An analysis of the quality indicators of the organ donation process in São Paulo, Brazil.
abstract: BACKGROUND
  Few studies have investigated whether quality initiatives in the process of organ donation yield better results of the organ donation process.
  
  
  OBJECTIVE
  To analyze whether the indicators of the organ donation process in Brazilian hospitals meet the standards established by the Organ Donation European Quality System (ODEQUS).
  
  
  METHODS
  We evaluated the quality of the organ donation in a selected group of Brazilian hospitals served by the Nucleus of Organ Procurement (NOP) using standards of the ODEQUS.
  
  
  RESULTS
  Structural and process indicators had 100% conformity. Indicators of results showed a family consent rate of 61% (29% lower than ODEQUS goal); a conversion rate of potential donors to effective donors of 47% (28% below the goal); and a 12% rate of sudden cardiac arrest (higher than the quality limit).
  
  
  CONCLUSIONS
  Our findings highlight the importance for the development of quality initiatives in identifying gaps and weaknesses in the process that should be corrected or even restructured, therefore maximizing the number of donors and organs transplanted. Hospitals that participate in the NOP process met 61% of the quality indicators proposed by ODEQUS. Identification of potential donors, family consent, conversion, and sudden cardiac arrest rates are areas that did not conform to ODEQUS standard and revealed a great opportunity for improvement.
authors.affiliation: Nurse Program Transplant Coordinator, Hospital Israelita Albert Einstein, São Paulo, Brazil.|Programa de Apoio ao Desenvolvimento Institucional do SUS, PROADI/SUS - Brazilian Government, São Paulo, Brazil.
authors.forename: Luciana Carvalho
authors.initials: LC
authors.lastname: Moura
authors.affiliation: Programa de Apoio ao Desenvolvimento Institucional do SUS, PROADI/SUS - Brazilian Government, São Paulo, Brazil.|Procurement In-House Transplant Coordinator, Hospital Albert Einstein, São Paulo, Brazil.
authors.forename: Priscilla Caroliny
authors.initials: PC
authors.lastname: de Oliveira
authors.affiliation: Programa de Apoio ao Desenvolvimento Institucional do SUS, PROADI/SUS - Brazilian Government, São Paulo, Brazil.|Procurement In-House Transplant Coordinator, Hospital Albert Einstein, São Paulo, Brazil.
authors.forename: Juliana Guareschi
authors.initials: JG
authors.lastname: dos Santos
authors.affiliation: Programa de Apoio ao Desenvolvimento Institucional do SUS, PROADI/SUS - Brazilian Government, São Paulo, Brazil.|Procurement In-House Transplant Coordinator, Hospital Albert Einstein, São Paulo, Brazil.
authors.forename: Heloisa Barboza
authors.initials: HB
authors.lastname: Paglione
authors.affiliation: Programa de Apoio ao Desenvolvimento Institucional do SUS, PROADI/SUS - Brazilian Government, São Paulo, Brazil.|Procurement In-House Transplant Coordinator, Hospital Albert Einstein, São Paulo, Brazil.
authors.forename: Jose Maria
authors.initials: JM
authors.lastname: do Nascimento Neto
authors.affiliation: Programa de Apoio ao Desenvolvimento Institucional do SUS, PROADI/SUS - Brazilian Government, São Paulo, Brazil.|Procurement In-House Transplant Coordinator, Hospital Albert Einstein, São Paulo, Brazil.
authors.forename: Roberta Cristina Cardoso
authors.initials: RC
authors.lastname: dos Santos
authors.affiliation: Programa de Apoio ao Desenvolvimento Institucional do SUS, PROADI/SUS - Brazilian Government, São Paulo, Brazil.|Procurement In-House Transplant Coordinator, Hospital Albert Einstein, São Paulo, Brazil.
authors.forename: Marli Cristina
authors.initials: MC
authors.lastname: de Oliveira Marcos
authors.affiliation: Programa de Apoio ao Desenvolvimento Institucional do SUS, PROADI/SUS - Brazilian Government, São Paulo, Brazil.|Procurement In-House Transplant Coordinator, Hospital Albert Einstein, São Paulo, Brazil.
authors.forename: André Ramos
authors.initials: AR
authors.lastname: Carneiro
authors.affiliation: Programa de Apoio ao Desenvolvimento Institucional do SUS, PROADI/SUS - Brazilian Government, São Paulo, Brazil.|Procurement In-House Transplant Coordinator, Hospital Albert Einstein, São Paulo, Brazil.
authors.forename: Felipe Alves
authors.initials: FA
authors.lastname: Moreira
authors.affiliation: Programa de Apoio ao Desenvolvimento Institucional do SUS, PROADI/SUS - Brazilian Government, São Paulo, Brazil.|Procurement In-House Transplant Coordinator, Hospital Albert Einstein, São Paulo, Brazil.
authors.forename: Dayana Aparecida Martins
authors.initials: DA
authors.lastname: Correa Calado
authors.affiliation: Programa de Apoio ao Desenvolvimento Institucional do SUS, PROADI/SUS - Brazilian Government, São Paulo, Brazil.|Procurement In-House Transplant Coordinator, Hospital Albert Einstein, São Paulo, Brazil.
authors.forename: Renata Fabiana
authors.initials: RF
authors.lastname: Leite
authors.affiliation: Organ and Tissue Transplant Study Group, GEDOTT - Escola Paulista de Enfermagem - EPE/UNIFESP, São Paulo, Brazil.
authors.forename: Bartira
authors.initials: B
authors.lastname: de Aguiar Roza
authors.affiliation: Programa de Apoio ao Desenvolvimento Institucional do SUS, PROADI/SUS - Brazilian Government, São Paulo, Brazil.|Medical Surgeon Liver Transplant Program, Hospital Israelita Albert Einstein, São Paulo, Brazil.
authors.forename: Paolo Rogerio
authors.initials: PR
authors.lastname: de Oliveira Salvalaggio
authors.affiliation: Programa de Apoio ao Desenvolvimento Institucional do SUS, PROADI/SUS - Brazilian Government, São Paulo, Brazil.|Medical Transplantation Program Coordinator, Hospital Israelita Albert Einstein, São Paulo, Brazil.
authors.forename: Ana Cristina Carvalho
authors.initials: AC
authors.lastname: de Matos
mesh_terms: D001938:Brazil; D003430:Cross-Sectional Studies; D005500:Follow-Up Studies; D006801:Humans; D016377:Organ Transplantation / Q000592:standards*; D011379:Prognosis; D019984:Quality Indicators, Health Care / Q000592:standards*; D011787:Quality of Health Care / Q000458:organization & administration / Q000592:standards*; D012189:Retrospective Studies; D014019:Tissue Donors / Q000600:supply & distribution*; D009927:Tissue and Organ Procurement / Q000458:organization & administration / Q000592:standards*
keywords: organ donation; quality initiatives; transplantation