Evidence map›Paper›PMID 36731923›Full record

ArticleBMJ open2023

Quality improvement tools to manage deceased organ donation processes: a scoping review.

Amina Silva, Samantha Arora, Sonny Dhanani, Andrea Rochon, Luciana P Giorno, Elayne Jackson, Laura Hornby, Marzieh Latifi, Ken Lotherington, Marian Luctkar-Flude and 3 more

Open access · goldAbstract readScoping Review
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.7field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Hospital-Related Determinants of Refusal of Organ Donation in France: A Multilevel Study.International journal of environmental research and public health · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 7 institutions in 2 countries.

Amina SilvaResearch Institute, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada ASilva@cheo.on.ca.ORCID 0000-0002-0972-8212
Samantha AroraMackenzie Health, Richmond Hill, Ontario, Canada.ORCID 0000-0003-4165-6842
Sonny DhananiCritical Care, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
Andrea RochonSchool of Nursing, Queen's University, Kingston, Ontario, Canada.
Luciana P GiornoSchool of Nursing, Federal University of the ABC, Santo Andre, SP, Brazil.
Elayne JacksonResearch Institute, Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
Laura HornbyResearch Institute, Canadian Blood Services, Ottawa, Ontario, Canada.ORCID 0000-0003-4079-8080
Marzieh LatifiSina Organ procurement unit, Tehran, Iran (the Islamic Republic of).
Ken LotheringtonCanadian Blood Services, Ottawa, Ontario, Canada.
Marian Luctkar-FludeSchool of Nursing, Queen's University, Kingston, Ontario, Canada.
Stefany PetrySchool of Nursing, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil.
Lindsay WilsonCanadian Blood Services, Ottawa, Ontario, Canada.
Vanessa Silva E SilvaSchool of Nursing, Brock University, St Catherines, Ontario, Canada.ORCID 0000-0002-0717-2011
Canadian Blood Services · CAChildren's Hospital of Eastern Ontario · CAQueen's University · CABrock University · CAUniversidade Federal de Santa Catarina · BRUniversidade Federal do ABC · BRYork Central Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo collate and summarise the literature on the quality improvement tools that have been developed for deceased organ donation processes after circulatory determination of death and neurological determination of death.

designScoping review using the Joanna Briggs Institute framework. DATA SOURCES: We searched for published (MEDLINE, Embase, PsycINFO, CINAHL, Web of Science) and unpublished literature (organ donation organisation websites worldwide). The search was initially conducted on 17 July 2021 and updated on 1 June 2022. Included articles discussed the creation and/or use of quality improvement tools to manage deceased organ donation processes. Two independent reviewers screened the references, extracted and analysed the data.

results40 references were included in this review, and most records were written in English (n=38), originated in Canada (n=21), published between 2016 and 2022 (n=22), and were specific for donation after neurological determination of death (n=20). The tools identified included checklists, algorithms, flow charts, charts, pathways, decision tree maps and mobile apps. These tools were applied in the following phases of the organ donation process: (1) potential donor identification, (2) donor referral, (3) donor assessment and risk, (4) donor management, (5) withdrawal of life-sustaining measures, (6) death determination, (7) organ retrieval and (8) overall organ donation process.

conclusionsWe conducted a thorough investigation of the available quality improvement tools for deceased organ donation processes. The existing evidence lacks details in the report of methods used for development, testing and impact of these tools, and we could not locate tools specific for some phases of the organ donation process. Lastly, by mapping existing tools, we aim to facilitate both clinician choices among available tools, as well as research work building on existing knowledge.

Indexed as

Organ TransplantationTissue and Organ ProcurementDeathHumansQuality ImprovementTissue DonorsOrganisation of health servicesQuality in health careTRANSPLANT MEDICINE

Identifiers

PMID36731923
PMCPMC9896188
OpenAlexW4318986000

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.