scholarly journals Organ donor recovery performed at an organ procurement organization (OPO)-based facility is an effective way to minimize organ recovery costs and increase organ yield

HPB ◽  
2016 ◽  
Vol 18 ◽  
pp. e74
Author(s):  
M.B.M. Doyle ◽  
J.A. Lowell ◽  
E. Stahlschmidt ◽  
D. Brockmeier ◽  
K. Collins ◽  
...  
Keyword(s):  
Organ Procurement ◽  
Organ Donor ◽  
Organ Procurement Organization ◽  
Organ Recovery

scholarly journals Breakdown in the Organ Donation Process and Its Effect on Organ Availability

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Manik Razdan ◽  
Howard B. Degenholtz ◽  
Jeremy M. Kahn ◽  
Julia Driessen
Keyword(s):  
Organ Donation ◽  
Retrospective Analysis ◽  
Poisson Regression ◽  
Organ Procurement ◽  
Strong Predictor ◽  
Organ Donor ◽  
Organ Procurement Organization ◽  
Donation Process ◽  
Organ Recovery ◽  
Using Data

Background. This study examines the effect of breakdown in the organ donation process on the availability of transplantable organs. A process breakdown is defined as a deviation from the organ donation protocol that may jeopardize organ recovery.Methods. A retrospective analysis of donation-eligible decedents was conducted using data from an independent organ procurement organization. Adjusted effect of process breakdown on organs transplanted from an eligible decedent was examined using multivariable zero-inflated Poisson regression.Results. An eligible decedent is four times more likely to become an organ donor when there is no process breakdown (adjusted OR: 4.01; 95% CI: 1.6838, 9.6414;P<0.01) even after controlling for the decedent’s age, gender, race, and whether or not a decedent had joined the state donor registry. However once the eligible decedent becomes a donor, whether or not there was a process breakdown does not affect the number of transplantable organs yielded. Overall, for every process breakdown occurring in the care of an eligible decedent, one less organ is available for transplant. Decedent’s age is a strong predictor of likelihood of donation and the number of organs transplanted from a donor.Conclusion. Eliminating breakdowns in the donation process can potentially increase the number of organs available for transplant but some organs will still be lost.

Centralized Organ Procurement Organization Surgical Center: First 200 Brain Dead Organ Donor Transfer Experience.

2014 ◽  
Vol 98 ◽  
pp. 668
Author(s):  
R. Pietroski ◽  
P. Lange ◽  
N. Houghton ◽  
A. Kowalczyk ◽  
A. Trost ◽  
...  
Keyword(s):  
Organ Procurement ◽  
Organ Donor ◽  
Organ Procurement Organization ◽  
Brain Dead

Interaction of Organ Donor Families and Recipients

1996 ◽  
Vol 6 (4) ◽  
pp. 191-195 ◽  
Author(s):  
David Lewino ◽  
Lisa Stocks ◽  
Gail Cole
Keyword(s):  
Direct Contact ◽  
Organ Procurement ◽  
Organ Donor ◽  
Descriptive Study ◽  
Organ Procurement Organization ◽  
Transplant Center

An exploratory descriptive study of donor families and recipients of cadaveric organs was done to determine their feelings about direct contact with each other. Direct contact was desired by 70% of donor families and 75% of recipients. Donor families wanted to see firsthand the benefit of the transplant to another person. Recipients primarily wanted to express gratitude. Both groups think they have a right to meet. Although both think these interactions should be professionally regulated and facilitated, they do not think the transplant center or the organ procurement organization is responsible for the outcome of a meeting. Donor families and recipients think the process should be gradual with prior correspondence. On the basis of our findings, we have developed a list of suggested guidelines to use when facilitating an interaction.

Organ Donor Care MAP: A Multidisciplinary Approach

1996 ◽  
Vol 6 (3) ◽  
pp. 101-104
Author(s):  
Mary Holmquist
Keyword(s):  
Family Support ◽  
Multidisciplinary Approach ◽  
Organ Procurement ◽  
Medical Center ◽  
Action Plan ◽  
Organ Donor ◽  
Time Frame ◽  
Organ Procurement Organization ◽  
Potential Organ Donor ◽  
The Family

A Care Multidisciplinary Action Plan was developed at a 300-bed rural medical center in 1994. Once a potential organ donor is identified and referred to the organ procurement organization and the family has consented to donation, the ICU nurse initiates the Care Multidisciplinary Action Plan, which is based on an 8-hour time frame for ICU care that may be adjusted as needed. The first hour includes prompts for coroner notification, billing changes, and completion of hospital-specific death notice forms. The remaining hours are spent administering tests and preparing the donor for organ retrieval. Collaborative issues such as donor family support also are addressed. ICU nurses who used the donor care Multidisciplinary Action Plan were interviewed to determine its effectiveness.

Organ Donation, Brain Death and the Family: Valid Informed Consent

2015 ◽  
Vol 43 (2) ◽  
pp. 369-382 ◽  
Author(s):  
Ana S. Iltis
Keyword(s):  
Informed Consent ◽  
Brain Death ◽  
Organ Donation ◽  
Organ Procurement ◽  
Organ Donor ◽  
Public Understanding ◽  
Organ Procurement Organization ◽  
The Family ◽  
Driver's License ◽  
Brain Dead

In July 2013, parents in Ohio objected to their 21-year-old son becoming an organ donor. Elijah Smith was involved in an accident and pronounced dead using neurological criteria. The organ procurement organization (OPO) went to court and argued that because the young man was brain dead and because his driver's license indicated that he wished to be a donor, the court should allow them to use his organs. The mother argued that her son did not understand what he was signing when he signed his license and that his signature did not reflect an informed decision. The court disagreed with her, saying that he had indicated a wish to donate his organs and that no one but Elijah could revoke that wish. His organs were removed.Elijah's mother suspected that he did not understand what he was signing. She might have been right, given what we know about the process for obtaining permission for organ donation and the limited public understanding of brain death.

An In-House Coordinator Program to Increase Organ Donation in Public Trauma Hospitals

1998 ◽  
Vol 8 (2) ◽  
pp. 82-87 ◽  
Author(s):  
Teresa Shafer ◽  
R. Patrick Wood ◽  
Charles Van Buren ◽  
William Guerriero ◽  
Kimberly Davis ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Organ Donation ◽  
Organ Procurement ◽  
Consent Process ◽  
Organ Donors ◽  
Consent Rate ◽  
Donor Management ◽  
Organ Procurement Organization ◽  
Conversion Rates ◽  
Organ Recovery

A 4-year retrospective study was conducted regarding the donor potential, consent rates, and organ recovery at a large 500-bed public trauma hospital. An independent organ procurement organization hired two in-house coordinators, one white and one black, to work exclusively in the hospital. The duties of the in-house coordinators included the following: working with nurses, physicians, and residents to identify donors; closely managing and coordinating the consent process; and assisting organ procurement coordinators in donor management. Following the program's implementation and the use of race-specific requesters, a 64% increase in consent rate resulted along with an overall increase of 94% in the number of organ donors. The consent rate of blacks increased 115%, whereas the number of black organ donors increased 154%. The Hispanic consent rate increased 48% with a corresponding increase of 83% in the number of Hispanic organ donors. In addition, the white consent rate increased from 55% (the 3-year average from 1993 to 1995) to 75% in 1996, resulting in a 36% increase following the implementation of the program. The investment of dedicated race-sensitive personnel in large urban county trauma facilities can result in a significant increase in donor conversion rates.

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