Evidence map›Paper›PMID 37748820›Full record

ArticleBMJ open quality2023

Implementation of a quality management system in a liver transplant programme.

Yolanda López-Púa, Miquel Navasa, Antoni Trilla, Jordi Colmenero, Raquel García, Eva López, Anna Durà, Ana Guash, José Ríos

Abstract read
In one paragraph

Article in BMJ open quality, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

9 authors.

Yolanda López-PúaQuality Unit, Biomedical Diagnostic Center, Hospital Clinic de Barcelona, Barcelona, Catalunya, Spain yolopez@clinic.cat.ORCID 0009-0001-5741-8577
Miquel NavasaLiver Transplant Unit, Hospital Clinic de Barcelona, University of Barcelona, Barcelona, Catalunya, Spain.
Antoni TrillaPreventive Medicine Unit, Hospital Clinic de Barcelona, University of Barcelona, Barcelona, Catalunya, Spain.
Jordi ColmeneroLiver Unit, Hospital Clinic de Barcelona. IDIBAPS, CIBERehd, University of Barcelona, Barcelona, Catalunya, Spain.
Raquel GarcíaLiver Transplant Unit, Hospital Clinic de Barcelona, University of Barcelona, Barcelona, Catalunya, Spain.
Eva LópezLiver Transplant Unit, Hospital Clinic de Barcelona, University of Barcelona, Barcelona, Catalunya, Spain.
Anna DuràLiver Transplant Unit, Hospital Clinic de Barcelona, University of Barcelona, Barcelona, Catalunya, Spain.
Ana GuashLiver Transplant Unit, Hospital Clinic de Barcelona, University of Barcelona, Barcelona, Catalunya, Spain.
José RíosDepartment of Clinical Farmacology, Hospital Clinic de Barcelona, Hospital Clinic and Medical Statistics Core Facility, IDIBAPS. Biostatistics Unit, School of Medicine, Universitat Autònoma de Barcelona, Barcelona, Catalunya, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe management of liver transplantation has become a complex process involving different healthcare professionals. Teamwork, standardisation and definition of the best practices are essential for success, patient satisfaction and society's favourable perception of transplantation programmes.ISO 9001:2015 certification provides the necessary elements to help implement a quality management system (QMS) to ensure that patient care is performed with the highest guarantees of clinical quality and safety. The aim of this study is to describe the steps, strengths and limitations in the implementation of a QMS in a liver transplant programme (LTP). PROJECT MANAGEMENT

methodThis included analysing the starting point, setting up a working group, training, defining the scope of certification, preparing documentation, and conducting an internal and external audit, which culminated in the ISO 9001 quality certification award. The scope of QMS includes all the processes of LTP, from referral of candidates to long-term follow-up after transplantation.

resultsThe project was structured in seven phases that took place between 2008 and 2011. The implementation of QMS led to the generation of all the necessary documentation to meet the requirements of the standard, including internal and legal requirements related to the transplant activity. The establishment of indicators to measure the effectiveness of processes, risk management and the identification of incidents allows us to implement measures devoted to avoiding the deficiencies and to meet the established objectives.

conclusionISO 9001:2015 certification has contributed to the adaptation of a new quality and safety culture focused on the patient. All activities are protocolised, everything is recorded, measured, and verified, and all steps are taken as planned. Work is carried out in terms of continuous improvement. This has led to less variability in daily clinical practice and a better understanding of work dynamics.

Indexed as

Liver TransplantationQuality Assurance, Health CareHumansquality improvementquality measurementtransplantation

Identifiers

PMID37748820
PMCPMC10533803

What OpenQuestion holds

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Registered trials

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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.