1. Institutional Quality Assurance Programs in Cadaveric Donors Ángel Piacenza ISODP 2011 28-11-2011

3. Specific Objectives of QAPs • Estimate and monitor the potential of deceased organ donation • Evaluate and monitor areas for improvement in DDP • Evaluate and monitor the effectiveness of the DDP • Analyze those hospital factors , demographic characteristics of potential donors existing practices … that have an impact on the previously mentioned areas

9. 2- To provide a useful and common tool for assessing the potential of deceased donation, evaluating performance in the DDP and identifying areas for improvement. Third World Health Organization (WHO) Global Consultation on Organ Donation and Transplantation: Madrid, Spain, on March 23–25, 2010 International Organisms and QAPs

12. Potential of Donation COUNTRY, REGION, CITY DONOR HOSPITAL

16. Spanish QAPDD “ Men are good, but if controlled, they are better” “ Los hombres son buenos, pero si se los controla, son mejores”

17. Spanish QAPDD 131 hospitals from all Spanish regions. 96% of national actual donors.

18. Spanish QAPDD THE SPANISH QUALITY ASSURANCE PROGRAMME APPLIED TO THE PROCESS OF DONATION AFTER BRAIN DEATH: A KEY FACTOR TO IMPROVE. In Press

20. Spanish QAPDD THE SPANISH QUALITY ASSURANCE PROGRAMME APPLIED TO THE PROCESS OF DONATION AFTER BRAIN DEATH: A KEY FACTOR TO IMPROVE. In Press

21. Europe DOPKI ( I mproving the K nowledge and P ractices in O rgan D onation)

22. Europe

23. 7 different work packages Europe

24. Europe

25. Europe

26. Europe

31. FPP - Glasgow 7 RESULTS

32. FPP - Glasgow 7 FPP G7 14,5 DPMP 2010: highest donation rate in Latin American Countries

33. SPANISH MODEL ?? INCUCAI Prov. Coord H T C Health System Health System H T C CC AA ONT

34. FPP - Glasgow 7

38. Results Increasing Brain Death Detection

40. Results Anual Organ Donors

41. Results Period Average Donor THC FPP 26.066 Law All Programs P<0.01 P<0.01 P<0.01

43. IBERÁ: second largest Freshwater Reserve in the world CORRIENTES

45. Tidelands and Lagoons