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Communication gaps associated with donor-derived infections.

Publication ,  Journal Article
Miller, R; Covington, S; Taranto, S; Carrico, R; Ehsan, A; Friedman, B; Green, M; Ison, MG; Kaul, D; Kubak, B; Lebovitz, DJ; Lyon, GM ...
Published in: Am J Transplant
January 2015

The detection and management of potential donor-derived infections is challenging, in part due to the complexity of communications between diverse labs, organ procurement organizations (OPOs), and recipient transplant centers. We sought to determine if communication delays or errors occur in the reporting and management of donor-derived infections and if these are associated with preventable adverse events in recipients. All reported potential donor-derived transmission events reviewed by the Organ Procurement and Transplantation Network Ad Hoc Disease Transmission Advisory Committee from January 2008 to June 2010 were evaluated for communication gaps between the donor center, OPO and transplant centers. The impact on recipient outcomes was then determined. Fifty-six infection events (IEs; involving 168 recipients) were evaluated. Eighteen IEs (48 recipients) were associated with communication gaps, of which 12 resulted in adverse effects in 69% of recipients (20/29), including six deaths. When IEs and test results were reported without delay, appropriate interventions were taken, subsequently minimizing or averting recipient infection (23 IEs, 72 recipients). Communication gaps in reported IEs are frequent, occur at multiple levels in the communication process, and contribute to adverse outcomes among affected transplant recipients. Conversely, effective communication minimized or averted infection in transplant recipients.

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Published In

Am J Transplant

DOI

EISSN

1600-6143

Publication Date

January 2015

Volume

15

Issue

1

Start / End Page

259 / 264

Location

United States

Related Subject Headings

  • Transplant Recipients
  • Tissue and Organ Procurement
  • Tissue Donors
  • Surgery
  • Prognosis
  • Organ Transplantation
  • Humans
  • Disease Transmission, Infectious
  • Communication
  • 3204 Immunology
 

Citation

APA
Chicago
ICMJE
MLA
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Miller, R., Covington, S., Taranto, S., Carrico, R., Ehsan, A., Friedman, B., … Blumberg, E. (2015). Communication gaps associated with donor-derived infections. Am J Transplant, 15(1), 259–264. https://doi.org/10.1111/ajt.12978
Miller, R., S. Covington, S. Taranto, R. Carrico, A. Ehsan, B. Friedman, M. Green, et al. “Communication gaps associated with donor-derived infections.Am J Transplant 15, no. 1 (January 2015): 259–64. https://doi.org/10.1111/ajt.12978.
Miller R, Covington S, Taranto S, Carrico R, Ehsan A, Friedman B, et al. Communication gaps associated with donor-derived infections. Am J Transplant. 2015 Jan;15(1):259–64.
Miller, R., et al. “Communication gaps associated with donor-derived infections.Am J Transplant, vol. 15, no. 1, Jan. 2015, pp. 259–64. Pubmed, doi:10.1111/ajt.12978.
Miller R, Covington S, Taranto S, Carrico R, Ehsan A, Friedman B, Green M, Ison MG, Kaul D, Kubak B, Lebovitz DJ, Lyon GM, Nalesnik MA, Pruett TL, Teperman L, Vasudev B, Blumberg E. Communication gaps associated with donor-derived infections. Am J Transplant. 2015 Jan;15(1):259–264.
Journal cover image

Published In

Am J Transplant

DOI

EISSN

1600-6143

Publication Date

January 2015

Volume

15

Issue

1

Start / End Page

259 / 264

Location

United States

Related Subject Headings

  • Transplant Recipients
  • Tissue and Organ Procurement
  • Tissue Donors
  • Surgery
  • Prognosis
  • Organ Transplantation
  • Humans
  • Disease Transmission, Infectious
  • Communication
  • 3204 Immunology