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DUKE UNIVERSITY Ninety-Ninth Year, issue 94
by
Malavdka Prabhu THE CHRONICLE
ANTHONY CROSS/THE CHRONICLE
Taylor Collison, Trinity 'O3, is among threefinalists for young trustee.
Collison brings varied experience Emily Almas THE CHRONICLE
This is the first of a three-part series profiling this year's finalists for undergraduate young trustee. Like many Duke students, Taylor Collison was originally drawn to the University for the basketball and the academics. In fact, Duke has been in Collison’s blood since his pre-teen days, when he participated in basketball camp and the Talent
WWW.CHRONICLE.DUKE.EDU
Tragedy sparks changes
YOUNG TRUSTEE FINALISTS
by
DURHAM, N.C.
MONDAY, FEBRUARY 9,2004
Identification Program on campus. Now, as then, the Winter Park, Fla., native sleeps, eats and drinks ‘Blue Devil’—a quality he hopes to continue as young trustee. Although he graduated from Trinity College in December with a degree in public policy studies, Collison cannot —or will not, distance or remove SEE COLLISON ON PAGE 8
In the wake of Jesica Santillan’s mismatched organ transplant, Duke University Hospital implemented a series of safety measures targeted at the organ transplant procedure to ensure that such medical mishaps do not reoccur. In addition, the United Network for Organ Sharing, the national non-profit organization that coordinates the matching process between organ donors and recipients, reevaluated its matching system over the past year and has added additional checks to minimize the potential for incompatible transplants. Many of DUH’s changes for its organ transplant procedure, however, came into effect within a month of Santillan’s death on Feb. 21, 2003. “Basically, we implemented a large number of changes immediately so we weren’t reliant upon a third party to do the match,” said Chief of Cardiovascular and Thoracic Surgery Dr. Peter Smith, who led a multidisciplinary team that designed the new changes. The additional measures were a result of root cause analysis and process analysis conducted by the team, which included surgeons, nurses, transplant coordinators and administrators, among others. As were most hospitals, Smith added, at the time of the Santillan mishap, DUH was relying on the fact that a match precluded the organs being offered to an
these repetitive protocols were reasonable due to the high stakes involved with a human life. 'There’s been continuous improvement because of the 100 percent auditing of each transABO Compatibility plant,” said Smith, qualifying the For Organ Transplant audits as being primarily internal. Another significant change is the incorporation of the Pediatric Heart Transplant program into its Adult Heart Transplant counterpart to achieve greater consistency of treatment. Only the adult program is to be responsible for coordination between DUH and the regional organ procurement organization. With its safeguards, DUH has led the way for UNOS and its Organ Procurement and Transplantation Network, as well as COURTESY OF DUMC transplant centers nationwide, to This poster reminds surgeons of transinstitute their own changes, plant compatability in operating rooms. Smith said. For UNOS, the modifications healthcare professionals agree have primarily been procedural on the match, once before the to ensure a blood type match. patient is anesthetized and once The software that coordinates after the organ arrives at DUH. the match now must display the The final step is to type the donor’s blood type on every donor’s blood at the time of screen—information entered into the System by two separate transplantation. To facilitate the checks, UNOS staff members, another posters have been affixed in the redundant procedure. Furtherthoracic surgery operating rooms more, UNOS is requiring every reminding the staff of blood hospital capable of transplant compatibility relationships. surgeries to have a protocol en“Whereas there was not much suring the match, to conduct redundancy [in the procedure], routine audits of transplants and to produce documentation asthere is a tremendousredundancy introduced subsequently,” said serting the validity of its protocol. Dr. Duane Davis, associate profesSEE SANTILLAN ON PAGE 9 sor of thoracic surgery. He added
institution. To eliminate the possibility of a mismatch, DUH has now implemented redundant checks for blood type compatibility—two timeouts where the
Chronicle elects Hauptman as next editor From staff reports The editorial staff ofThe Chronicle has elected sophomore Karen Hauptman to serve as the newspaper’s editor for its 100th year of publication. At a meeting Friday afternoon, Hauptman, now one of the newspaper’s associate University editors and a wire editor, was named editor ofThe Chronicle and president of Duke Student Publishing Company, Inc., the independent corporation responsible for publishing the campus’ student-run daily newspaper. Hauptman will succeed senior Alex Garinger for a oneyear term beginning May 9, As editor, Hauptman will determine the newspaper’s content and lead a staff of more than 100 student volunteer reporters, editors, photographers and layout designers. Her responsibilities as DSPC president will include preserving the corporation’s dual mission of providing journalism opportunities for Duke students and delivering information to the community. In her speech, Hauptman offered the staff an agenda that included improving recruitment and training of reporters, streamlining the efficiency of the newspaper’s
production process and preparing for The Chronicle’s 100th anniversary. “Our 100th anniversary is a unique opportunity for The Chronicle to look back on our history and reestablish our relationship with our readers,” she said. “As we refine our standards of reporting, writing and production, we need to be constantly aware of our position as the primary forum for discussion and debate about news in the Duke community.” Hauptman said aggressive staff development would be crucial for the future of the newspaper. She said initial recruitment is only the first step in what should be a continual learning process for staff members. Training will continue, she said, through the editing process and with the help of internal and external leadership. During her term as an associate University editor, Hauptman worked alongside four other associate editors and two University editors to cover all aspects of campus affairs, focusing particularly on facilities and employees. Staff members report that Hauptman has SEE HAUPTMAN ON PAGE 8
Karen Hauptman, a sophomore, has been selected as editor of The Chroniclefor the 100th volume.