Introduction: DonateLife Tasmania (DLT) have expanded the activities of our state-based data and audit portfolio in response to Tasmania's key strategic focus of 'closing the performance gap'.  This is aligned with the Australian Organ and Tissue Authority's (OTA) key strategic priority 'enhancing systems for collection and reporting of data and information to drive clinical best practice' (OTA Strategy 2022-2027).  There are identified opportunities to collect practice intelligence providing critical information about donor referral practice in key clinical areas in Tasmanian hospitals.  In practice, it is known there are key factors pertaining to donor referral which impact on the family donation conversations.  Despite the impact of these factors on the donation process there are no current systems available which capture this key intelligence and inform our clinical engagement programs.
Activity

• Development of tool and notification process for referrals deviating from best practice as an initial mechanism for data collection
• Analysis of information collected and collation of key identified themes
• Understanding of factors where there may be an opportunity to develop a targeted response
• Presentation of themes at DLT data and audit case review meetings to inform and educate Donation Specialist Nursing Coordinators (DSNC) on identified clinical trends and modifiable factors
• Utilisation of potentially modifiable information to direct clinical engagement activities including unit-based education, clinical champion key messaging and clinical feedback

Results and next steps: From the initial trial in the collection of key data points, a base list of themes and common factors on both a state and hospital specific level can be observed to impact on Tasmanian donor referral to family donation conversation practice.
In the trial, reporting of this information has commenced to unit Morbidity and Mortality forums statewide to evaluate the clinical response to the information shared.

Our next steps include:

• Review of DSNC notification system to report best practice deviations
• Development of a more user-friendly data base for storage, analysis and reporting of data
• Establish clinical feedback process to provide timely, relevant and meaningful information to clinicians in ICU/ED areas utilising the current DLT clinical engagement structure
• Monitor and evaluate methods of delivering clinical feedback to determine if there are identified practice improvements and results