The impact of organ donation on coronial processes and forensic investigation: A literature review

Nunnink, Leo; Wallace-Dixon, Chelsea

doi:10.1016/j.jflm.2020.101940

Cited by 4 publications

(3 citation statements)

References 21 publications

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“…For countries not represented in this scoping review, interviews, surveys, and legislation review may identify additional opportunities to advance death investigation procedures in a manner that promotes deceased organ donation. These findings complement and are consistent with Nunnink et al, who identify similar themes but also review donation rates, restriction impact and types, and donation ethics (34). In contrast, this article provides an in-depth analysis of international ODO-DI systemic differences, with an intent to inform future Canadian provincial and national policy development.…”

Section: Discussionsupporting

confidence: 89%

The Intersection of Death Investigation and Organ Donation Systems: A Scoping Review

Cullip¹,

Sarti²,

Weiss³

et al. 2022

Academic Forensic Pathology

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Introduction: Death investigators (DIs) such as coroners, medical examiners, and forensic pathologists play important and evolving roles in deceased organ donation. DIs communicate with organ donation organizations (ODOs) to gather case-specific information and release or restrict organs depending on the medicolegal requirements. This scoping review aims to identify the breadth of roles and decision-making processes that may facilitate or hinder deceased donation in DI cases. Methods: This study was conducted using a scoping literature review and subsequent thematic analysis. Results: Thirty-one eligible papers described 8 common themes with region-specific nuances. These include: 1) shared (ODO and DI) protocols for early communication around each case; 2) shared standards and education for death investigation practices related to organ donation; 3) DI support staff or teams to facilitate organ donation; 4) DI authority to order additional testing and imaging before organ recovery; 5) donation-specific legislation to enhance DI and/or ODO operations; 6) legally trained DI authority to veto medical decisions to proceed with organ donation; 7) DI attendance at organ recovery; and 8) surgeons recording specific DI evidence during organ recovery. Conclusion: These findings have cultural and resource-allocation implications and expose gaps in the international literature describing practices at the intersection of deceased organ donation and death investigation. A better understanding of the rationale and execution of various systems for DI and ODO cooperation may serve to advance both organ donation and death investigation.

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Section: Discussionsupporting

confidence: 89%

The Intersection of Death Investigation and Organ Donation Systems: A Scoping Review

Cullip¹,

Sarti²,

Weiss³

et al. 2022

Academic Forensic Pathology

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“…It was concluded that better forensic decision making and strategies would increase the availability of organs for transplantation. 25 A study in France indicates that approximately 30 cases per year, which make up 4% of deaths involving legal proceedings, need forensic outcomes more than cadaveric organ donations. To reduce the conflict between forensic outcomes and cadaveric organ donations, local authorities have formed guidelines to increase the effectiveness of communication between agencies and standardising practices so that the rate of cadaveric organ donations does not unnecessarily affect by the needs for forensic outcomes.…”

Section: Non-maleficencementioning

confidence: 99%

“…To reduce the conflict between forensic outcomes and cadaveric organ donations, local authorities have formed guidelines to increase the effectiveness of communication between agencies and standardising practices so that the rate of cadaveric organ donations does not unnecessarily affect by the needs for forensic outcomes. 25 Another published report by the same lead author and a few others described the organ procurement issues at the crime scene. It explains in detail the differences of risks for crime scene contamination in an already dead and nonheart-beating person versus emergency treatment rendered by emergency medical personnel.…”

Section: Non-maleficencementioning

confidence: 99%

Impacts of Forensic Outcomes on Cadaveric Organ Donations in Malaysia

Jalil

Ahmad

Isa

et al. 2022

IJETV

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In forensic medicine, there can be times when the dilemma of having to choose between harvesting organs from cadaveric donors versus the need to complete the forensic analysis to savor the equally important forensic outcomes becomes tricky as well cul de sac of one on another. The deliberation of the seemingly practical junction is of academic value and ethical considerations that need to be dissected upon. As such, the impacts of forensic outcomes on cadaveric organ donations in Malaysia through the lenses of (i) academic benefits of forensic outcomes, (ii) ethically justified considerations of the dilemma, and (iii) available data helpful in navigating through the two competing needs.

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Pediatric Organ Donation and Transplantation: Across the Care Continuum

et al. 2023

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This policy statement aims to enhance comfort and increase knowledge of pediatric organ donation and transplantation to the general pediatric community, specifically focusing on the pediatric health care professional and the medical home. The pediatric health care professional will care for neonates, infants, children, and adolescents who may become donors or transplant recipients and, thus, is a crucial member of the pediatric patient’s care team. Understanding donation, transplantation, and follow-up care are important to primary care engagement. Furthermore, the pediatric health care professional may play a role in shaping public policies related to the process of organ donation and access to organ transplantation.

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The impact of organ donation on coronial processes and forensic investigation: A literature review

Cited by 4 publications

References 21 publications

The Intersection of Death Investigation and Organ Donation Systems: A Scoping Review

The Intersection of Death Investigation and Organ Donation Systems: A Scoping Review

Impacts of Forensic Outcomes on Cadaveric Organ Donations in Malaysia

Pediatric Organ Donation and Transplantation: Across the Care Continuum

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