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PubMed1993

Combined team effort in liver procurement and transplantation: 5-year experience of one organ procurement organization.

Combined team effort in liver procurement and transplantation has proven to be very advantageous as compared to same team effort in our experience. The incidence of primary nonfunction was almost identical between the two groups. We recommend that a combined team effort be used in liver transplantation to conserve the resources and ensure the safety of the transplant team. The practice of only a single local recovery team for all abdominal organ procurement should be encouraged.

Delaware↗
PubMed1993

Interdepartmental quality assurance using coded autopsy results.

A system of reporting discrepancies between antemortem and postmortem diagnoses was devised for use in interdepartmental quality assurance at a large community medical center. Between 1988 and 1991, 213 autopsies comprising 6% of deaths were coded using the system of Battle et al. (1) and distributed to the quality assurance committees of clinical departments. A major discrepancy was found in 11.7% (95% confidence interval; 6.8 to 18.4%) of adult cases. The discrepancy rate tended to increase with increasing patient age, but there was no significant effect due to patient sex, race, hospital of origin, clinical department of origin, whether the autopsy was restricted to examination of only part of the body, or whether the patient died in or out of the hospital. The possible uses of the quality assurance system and problems encountered with its implementation are discussed.

Abstracting and Indexing↗