A2ALL-Patients Safety System Improvements in Living Donor Liver Transplant

NCT02073435 COMPLETED Results posted

Living donor liver transplantation (LDLT), involves complex systems and processes of care that are particularly vulnerable to medical errors and preventable complications. This ancillary study of the Adult-to-Adult Living Liver Transplantation Cohort Study (A2ALL) will focus on conducting a proactive, systematic, and comprehensive assessment of the vulnerabilities in the systems and process of LDLT care to reduce medical errors and preventable complications thereby improving the safety of LDLT care. This project will address an important gap in the knowledge needed to achieve high quality and safe LDLT care of patients by developing a process to: 1) proactively, systematically and comprehensively identify areas of vulnerabilities in LDLT care that can result in medical errors, 2) design and implement solutions to mitigate these weaknesses, and 3) evaluate the effectiveness of these solutions to improve the safety of LDLT care by measuring clinical and process outcomes before and after solution implementation across four A2ALL participating transplant centers

Details

Lead sponsor	Northwestern University
Status	COMPLETED
Enrolment	177
Start date	2010-10
Completion	2018-04

Conditions

• Liver Diseases
• Hepatocellular Cancer
• Endstage Liver Disease
• Liver Cirrhosis

Interventions

• Donor pain management

Primary outcomes

• Living Donor Pain Management — Daily Visual Analogue Pain Scores (0-10) At transplant (post-operative day 0) and throughout hospitalization (post-operative days 1-8)
  Comparison of Average Pain Scores on Visual Analogue Pain Scale (0-10) measured before and after implementation of evidence-based donor pain management solution. 0 representing "No Pain", up through 10 representing "Worst possible, unbearable, excruciating pain".
• Complications — Perioperatively
  Cardiopulmonary complications

Countries

United States