Improvement in the organ donation rate at a large urban trauma center

Archives of Surgery
R L O'BrienM S Grady

Abstract

To implement and then determine the efficacy of a "hospital development" (HD) plan designed to increase organ donation rates at an urban trauma center. Retrospective reviews of all deaths at an urban, level I trauma center for 1991 to 1994. Potential organ donors were identified by standardized criteria, and the reasons why potential donors did not become actual organ donors ("nonproductive donors") were categorized. Actual donors were defined as individuals in whom one transplantable organ was recovered. Results also were expressed as percentages of potential donors for each year. Changes in actual donor numbers and in nonproductive donor categories were compared for the "pre-HD" (1991-1992) and "post-HD" (1993-1994) periods. The HD plan had six components: identification of key contact individuals, development and modification of relevant hospital policies, improvement in procurement agency visibility in hospital units, education of hospital staff regarding organ donation, institution of early on-site donor evaluations, and provision of feedback to hospital staff about the disposition of potential organ donors. Institution of the HD plan was associated with a highly significantly increase in actual donors for the post-HD peri...Continue Reading

Citations

Sep 12, 2000·Current Gastroenterology Reports·J F Trotter
Apr 18, 1998·Annals of Emergency Medicine·S O HendersonW K Mallon
Jul 27, 2001·The Journal of Trauma·C M JohnsonH Nathan
Dec 27, 1996·Transplantation·M D GrossmanC W Schwab
Mar 25, 1998·Journal of Transplant Coordination : Official Publication of the North American Transplant Coordinators Organization (NATCO)·S Shirley, R Stampfl
Aug 15, 1997·Hospital Practice·P E Morrissey, A P Monaco
Sep 4, 1998·Journal of Transplant Coordination : Official Publication of the North American Transplant Coordinators Organization (NATCO)·M M McKinneyY A Ozcan
May 9, 2006·Progress in Transplantation : Official Publication, North American Transplant Coordinators Organization ... [et Al.]·Frank Van GelderJacques Pirenne
Mar 22, 2021·Transplantation Reviews·Manuel Castillo-AngelesJoel T Adler

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