Keys to successful organ procurement: An experience-based review of clinical practices at a high-performing health-care organization

Abstract

Organ procurement (OP) from donors after brain death and circulatory death represents the primary source of transplanted organs. Despite favorable laws and regulations, OP continues to face challenges for a number of reasons, including institutional, personal, and societal barriers. This focused review presents some of the key components of a successful OP program at a large, high-performing regional health network. This review focuses on effective team approaches, aggressive resuscitative strategies, optimal communication, family support, and community outreach efforts.

Family veto in organ donation: the experiences of Organ and Tissue Donation Coordinators in Ontario

“…Research indicates collaborative efforts between hospitals and donation organizations and positive relationships between HCPs and OTDCs to be critical drivers for creating a culture of donation in healthcare settings. 15 , 39 – 42 These findings suggest a real need for inter-organizational and inter-professional goal sharing and priority setting.…”

Seeking consent for organ donation: Process evaluation of implementing a new Specialist Requester nursing role

“…However, reports still show widely varying consent rates across OPOs from 59-76% in some regions (Goldberg et al, 2013). Nonetheless there is a growing body of literature (Chandler et al, 2017;Childress & Liverman, 2006;Ebadat et al, 2014;Nathan et al, 2003;Siminoff et al, 2015;Smith, 2003;Traino et al, 2017;Vincent & Logan, 2012;Wojda et al, 2017) concerning the influence of the person who requests organ donation, which highlights several characteristics of the Designated Requester thought to positively influence the consent rate:…”

Estimated Association Between Organ Availability and Presumed Consent in Solid Organ Transplant

“…Optimizing the donor yield requires the use of best practices and emerging technologies (eg, machine perfusion) in donor consent and organ retrieval. 4,5,6 Even with these mechanisms, the donor pool is limited and will likely shrink in coming years because of changing US demographics and population health (eg, obesity prevalence, aging population), further exacerbating the disparity between donors and recipients. 7,8…”