Safety culture in the organ donation process: A literature review

Abstract

Objective: To evaluate the development of a safety culture in the organ donation and transplantation process as it is available in the scientific literature. Methods: An integrative literature review was conducted in the CINAHL, LILACS, PubMed, Scopus, and Web of Science databases, and the electronic library, SciELO, from 2012 to 2016, using a syntax of keywords and descriptors for each database; fourteen articles were selected for analysis. Results: One thousand six hundred and fifty nine studies were found, 33 complete articles were read, and 14 studies were selected for analysis. The information obtained was analyzed critically and grouped into two categories. Category 1 - patient safety culture for the use of medications in the post-transplant period: the involvement of the multidisciplinary team is essential in the orientation process for hospital discharge, and the main factors related to errors in the use of medicines. Category 2 - safety culture in the transplant units: issues related to patient safety of those undergoing transplantation in the pre- and intra-operative periods. Conclusion: This study showed that the issue of a culture of safety in the donation and organ transplantation process is incipient in the literature; well-designed studies related to the culture of patient safety are necessary for all the stages of the donation and transplant process.