Derivation of the Uncontrolled Donation after Circulatory Determination of Death Protocol for New York City

Evidence from Europe suggests establishing out‐of‐hospital, uncontrolled donation after circulatory determination of death (UDCDD) protocols has potential to substantially increase organ availability. The study objective was to derive an out‐of‐hospital UDCDD protocol that would be acceptable to New...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:American journal of transplantation Jg. 11; H. 7; S. 1417 - 1426
Hauptverfasser: Wall, S. P., Kaufman, B. J., Gilbert, A. J., Yushkov, Y., Goldstein, M., Rivera, J. E., O’Hara, D., Lerner, H., Sabeta, M., Torres, M., Smith, C. L., Hedrington, Z., Selck, F., Munjal, K. G., Machado, M., Montella, S., Pressman, M., Teperman, L. W., Dubler, N. N., Goldfrank, L. R.
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Malden, USA Blackwell Publishing Inc 01.07.2011
Wiley
Schlagworte:
action research
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Clinical death. Palliative care. Organ gift and preservation
Community-Based Participatory Research
Death
deceased organ donation
Ethics
Humans
Informed Consent
Medical sciences
New York City
Out-of-Hospital Cardiac Arrest
qualitative research
rapid organ recovery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tissue and Organ Procurement - legislation & jurisprudence
Tissue and Organ Procurement - methods
uncontrolled donation after cardiac death
Uncontrolled donation after circulatory determination of death
Warm Ischemia
New York
United States
North America
America
New York City
Heart
Urban environment
Mortality
Determination
Recovery
rapid organ recovery
Ethics
Organ donation
Scientific research
Uncontrolled donation after circulatory determination of death
Donation
Death
Qualitative analysis
action research
uncontrolled donation after cardiac death
Circulatory system
qualitative research
Cadaver
deceased organ donation
Organ
ISSN:1600-6135, 1600-6143, 1600-6143
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
Beschreibung
Zusammenfassung:Evidence from Europe suggests establishing out‐of‐hospital, uncontrolled donation after circulatory determination of death (UDCDD) protocols has potential to substantially increase organ availability. The study objective was to derive an out‐of‐hospital UDCDD protocol that would be acceptable to New York City (NYC) residents. Participatory action research and the SEED‐SCALE process for social change guided protocol development in NYC from July 2007 to September 2010. A coalition of government officials, subject experts and communities necessary to achieve support was formed. Authorized NY State and NYC government officials and their legal representatives collaboratively investigated how the program could be implemented under current law and regulations. Community stakeholders (secular and religious organizations) were engaged in town hall style meetings. Ethnographic data (meeting minutes, field notes, quantitative surveys) were collected and posted in a collaborative internet environment. Data were analyzed using an iterative coding scheme to discern themes, theoretical constructs and a summary narrative to guide protocol development. A clinically appropriate, ethically sound UDCDD protocol for out‐of‐hospital settings has been derived. This program is likely to be accepted by NYC residents since the protocol was derived through partnership with government officials, subject experts and community participants. This article reports on development of New York City's Uncontrolled Donation after Circulatory Determination of Death protocol. See editorial by Hanto and Veatch on page 1351.
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:1600-6135
1600-6143
1600-6143
DOI:10.1111/j.1600-6143.2011.03582.x