Diseño de una propuesta de protocolo de estandarización y gestión de calidad para el proceso de procuramiento de órganos / Proposal of a management and standardization protocol for organ procurement in Chile

ABSTRACT

Background: Organ donation rates for transplantation are low in Chile and there is a paucity of a technical-structured-normalized procurement process. Aim: To design a protocol to standardize the organ procurement process based on the Chilean reality. Material and Methods: After a first phase of bibliographic reviews and analyzing de Chilean legislative and normative frame, a proposal was elaborated in collaboration with five expert coordinators. In the second phase, two Delphi rounds with the local coordinators of the organ procurement centers were carried out. Their responses were analyzed and the stages and criteria to standardize the organ procurement process were determined. Results: The expert defined organ procurement process, validated by local coordinators, comprised nine stages and 36 criteria. The expert opinion coincidence was high and significant (Cronbach's alpha > 0.8, p < 0.01). Conclusions: The protocol describing the procurement process, constructed and validated by experts, will allow to standardize a clinical protocol contributing to a successful national organ procurement.