Anonymous Organ Procurement Protocol Deviation Report

Protect Patient Safety with Confidential Organ Procurement Deviation Reporting

Organ procurement and transplantation require strict adherence to UNOS (United Network for Organ Sharing) protocols and safety standards. When deviations occur, timely and confidential reporting is critical to patient safety, quality improvement, and regulatory compliance.

This Anonymous Organ Procurement Protocol Deviation Report template provides healthcare organizations, transplant centers, and organ procurement organizations (OPOs) with a secure, confidential channel for reporting protocol deviations, safety concerns, and potential quality issues without fear of retaliation.

Why Paperform is the Right Solution for Healthcare Incident Reporting

Healthcare teams need reporting tools that are both secure and accessible. Paperform's SOC 2 Type II compliance, conditional logic, and professional design capabilities make it ideal for creating confidential reporting workflows that protect both reporters and patients.

Key features of this template:

• Anonymous submission option that removes barriers to reporting
• Conditional logic that adapts questions based on deviation type and severity
• Comprehensive incident capture including UNOS notification requirements
• Secure data handling with SOC 2 Type II compliance and data residency controls
• Automated routing via Stepper (stepper.io) to trigger the appropriate review process, notify quality teams, and escalate high-severity incidents to transplant safety committees

With Stepper, you can automate the entire post-submission workflow: route reports to quality managers, trigger UNOS notification procedures when required, create investigation tickets in your quality management system, and maintain complete audit trails—all while preserving reporter confidentiality.

This template is designed for transplant surgeons, transplant coordinators, OR nurses, perfusionists, quality managers, and any healthcare professional involved in organ procurement and transplantation who needs to report safety concerns confidentially.

By implementing this form, healthcare organizations demonstrate their commitment to transparency, continuous improvement, and patient safety—core values that strengthen transplant program integrity and UNOS standing.

Note: While Paperform provides secure, SOC 2 Type II compliant data handling, it is not a HIPAA-compliant solution. Organizations requiring HIPAA compliance should implement additional safeguards or use HIPAA-compliant form solutions.