Program Development and Routine Notification in a Large, Independent OPO: A 12-Year Review

T. Shafer, C. V. van Buren, Charles A. Andrews
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Abstract

Review of the Literature Shafer et al21 reported some of the first OPO benchmarking data available to the industry on what might result from successful organ recovery in defined geographic service areas. Evans1 reported that the potential for organ donation in the United States ranges from 27.6 to 42.8 donors per million population (pmp); according to Gortmaker et al,23 the potential ranges from 27.6 to 42.8 donors pmp. Nathan et al24 found that the potential donor pool in Pennsylvania in 1987 ranged from 38.3 to 55.2 donors pmp. Although OPOs have steadily applied numerous resources and countless hours in an attempt to maximize this potential, donation rates in the United States have stalled around 21 donors pmp, with OPOs in the upper quartile of production achieving greater than 24 donors pmp.25 The growth of organ recovery is stagnated for many reasons. Two of the reasons—lack of donor identification and lack of consent by families of the Program development and routine notification in a large, independent OPO: a 12-year review
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大型独立OPO的项目开发和例行通知:12年回顾
文献综述Shafer等21报道了一些业界可获得的第一批OPO基准数据,这些数据是关于在确定的地理服务区域成功进行器官恢复可能产生的结果。Evans1报告说,在美国,器官捐赠的潜在数量在每百万人口27.6到42.8人之间;根据Gortmaker等人的研究,潜在供体数量在27.6到42.8之间。Nathan等人24发现1987年宾夕法尼亚州的潜在供体池在38.3到55.2个供体pmp之间。尽管opo已经稳定地投入了大量资源和无数时间,试图最大限度地发挥这一潜力,但美国的捐赠率一直停滞在每小时21个捐助者左右,产量最高的四分之一的opo的每小时捐赠率超过24个捐助者由于许多原因,器官恢复的增长停滞不前。其中两个原因是:缺乏捐助者身份证明,缺乏家庭对项目开发的同意,以及大型独立OPO的例行通知:12年审查
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