Korean J Transplant.  2022 Nov;36(Supple 1):S24. 10.4285/ATW2022.F-1186.

Current status of brain death organ donor’s management through introduction of electronic notification system of potential brain death donor

• Jeon SY
• Jo SM
• Jeon HA
• Rhee HR
• Jung HJ

• KMID: 2535172
• DOI: http://doi.org/10.4285/ATW2022.F-1186

Abstract

Background
In the pandemic situation caused by COVID-19, the restrictions on access are increasing due to the infection prob-lem and the intensive care unit access control has been strengthened. So, the visit of the Korea Organ Donation Agency (KODA) coordinator to discover potential brain death donor is limited. Pusan National University Hospital has a potential brain death do-nor inquiry system, but there is a problem in that it does not have an automatic notification function. So there is a problem in that the notification of the potential brain death donor is omitted by the medical staff due to busy, or the notification of the potential brain death donor is omitted when it is outside of regular hours. Recognizing the need for an untact way for discovering and no-tifying potential brain death donor while minimizing the risk of infection, a new electronic notification system for potential brain death donor was introduced, and I would like to introduce the current situation.
Methods
A computer was developed to generate a pop-up window when the condition that potential brain death donor criterion lasts for more than 6 hours is satisfied through the information entered in the clinical record of the ICU. Text message are sent to the KODA call center and the Pusan National University Hospital organ transplant center's cell phone on duty. The new electronic notification systems for potential brain death donor operate from February 22, 2021. (Potential brain death donor criterion: Loss of consciousness, LOC: coma, light reflex: fixed, pupil size: 4 mm or more, ventilator mode: CMV, SIMV mode).
Results
The number of notification of potential brain death donors from February 22, 2021 to June 30 was 86 cases, of which 19 (22.09%) cases were organ donations. As a result of conducting a survey on 14 users, 64.2% of the respondents said that the electronic notification system of potential brain death donor was working well and 57.1% said that it increased work efficiency. And 57.2% of the respondents answered that the electronic notification system of potential brain death donor had an effect on organ donation, 78.5% were satisfied with the system, and 64.2% said it was convenient to use. 85.7% said that the electronic notification system of potential brain death donor was working for the right patient, and 71.5% said it would not interfere with their work.
Conclusions
We have confirmed the efficiency and convenience of the new electronic notification system of potential brain death donor, and it is still in operation for only neurosurgery, trauma surgery, and emergency medicine in its early stages, but it will have to be applied to all clinical departments and patients in the future. And I think that a study to analyze the effect of the applied electronic notification system of potential brain death donor is needed, and a satisfaction survey targeting more users.