Living Kidney Donor: Continuity of Care Focused on Professional Expertise, Organisation and interaction Aarhus University Hospital, Skejby would like to increase the number of kidneys from living donors for various reasons: - The number of kidneys from deceased persons does not meet the actual demand. - Patients receiving an organ from a living donor have a better prognosis. - The surgical technique removing the kidney from the living donor laparoscopically carries a lower risk than open nephrectomy. - Relatives are willing to donate a kidney Objectives: - To investigate current practice concerning living kidney donation at Aarhus University Hospital, Skejby. - to develop a homogeneous, ideal and realistic practice for living kidney donation focused on health-professional expertise, organisation and interaction between professionals and living donor. - To promote inter-disciplinary collaboration. Methods: -Formulate a frame of reference for the principles of the continuity of care concept -Establishment of a working group with doctors, nurses, secretary and management, who represents the medical and surgical team, the living donor will meet. Furthermore, a research nurse as a coordinator and a process manager. The group has the competence to make all decisions concerning the continuity of care concept. - Field observations of current practice describing facts about the actual practice concerning living donors including written testimonials from the patients. - Preparation of a flow diagram on current practice. - Description of individual elements of current practice concerning professional content, existing instructions/procedures and related tasks. - Overall analysis and audit on current practice. - Drafting of an ideal and realistic frame of reference for the continuity concept of care to the living kidney donor, including written guidelines and documentation tools - Implementation of new practice concerning "Living donor - continuity of care" Results: - Explicit organisational overview of the programme for "Living donor - continuity of care" - Health-professional services provided by right person at the right time, resulting in improved patient safety - Patients are involved and experience coherence, continuity as well as inter-disciplinary and cross-departmental collaboration. Conclusion A model for "continuity of care" including work process and professional tasks has been developed. The effort concerning continuity of care to living donors has improved the quality on the whole programme.
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EDTNA/ERCA International Conference in Prague, 2008