Korean J Transplant.  2023 Nov;37(Suppl 1):S26. 10.4285/ATW2023.F-5933.

Capacity building in deceased donor management

• Gonchigjav B
• Pandaan B

• KMID: 2551600
• DOI: http://doi.org/10.4285/ATW2023.F-5933

Abstract

Background
Capacity building in brain death determination and management project implemented in 2020. Due to the pandemic of coronavirus disease 2019 (COVID-19) in the middle of January 2020. We followed WHO, The Transplantation Society guidance such as social distancing, travel restrictions, and online trainings. However, we tried our all possible options to implement project activities as we planned. To improve our intensive care unit (ICU) doctors’ knowledge, experience and skills for determining brain death donor, its management, optimize organ function and improve donation rate.
Methods
The project consists of 10 different activities to improve ICU doctors brain donor management knowledge and skills. Those activities are advanced online training for Training of Training, continuous medical education course, international congress, survey studies of brain death determination, preparation of training materials and ICU manual, provide textbooks for ICU doctors in donor hospitals, proper information board for customers, establish new brain death determination team, organize training at hospitals, health centers and public awareness activities through television interview, newspapers, and social media.
Results
Target group trainings for doctors of donor hospitals has a positive impact on health professionals’ attitudes, perceptions and involvement in deceased donor activities have improved dramatically. Knowledge exchange: training on ICU manage-ment by experienced Korean, Australian and Spanish professors and physicians significantly improved our doctors’ concep-tions, involvements and overall detection numbers increased during 2020. The rate actual donor has directly relation with total brain death donor detection and potential donor numbers. Precise understanding: there is a perception among medical profes-sionals that they want to learn more about deceased donor detection and management, its benefits for patients who are on the waiting list.
Conclusions
In the future, it will be necessary to integrate all related activities into comprehensive system and create transparent nationwide network, which can create the settings all doctors work together more effectively and provide precise management.