首页|Learning from a social experiment in consent for deceased organ donation
Learning from a social experiment in consent for deceased organ donation
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NSTL
The organ donation and transplantation system in Canada is currently transforming from a fragmented system with stagnant performance to a collaborative system with sustained incremental improvement (www.cihi.ca/en/e-statistics-on-organ -transplants-waiting-lists-and-donors). A potential donor intersects with the health care system in a predictable trajectory, from prehospital care to emergency department to intensive care unit to operating room. The transition from attempts to save a life, to acceptance of inevitable death, to organ donation is a complex, fragile and emotionally challenging, albeit predictable, process for both families and health care providers. Optimization of each step is required to improve the system. Provincial organ donation organizations carry the operational workload of managing the donation process and connecting with transplant recipients. In a related research article, Singh and colleagues evaluated factors that influence consent for organ donation in Ontario, a province that has implemented many of the fundamentals of system improvement to increase deceased organ donation. The authors' findings answer some questions, but raise others in light of recent policy changes in Nova Scotia.
Sam D. Shemie
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Division of Critical Care Medicine, Montreal Children's Hospital, McGill University Health Centre
NSTL
