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Executive Summary
Pages 1-5

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From page 1...
... , transplant centers, and hospitals. The study found considerable variation among OPOs and hospitals in such significant areas as criteria for the declaration of death, premortem medical interventions to preserve organs, and attention to family options (e.g., bedside attendance at the time of death)
From page 2...
... In three roundtable discussions, workshop participants compared protocol content from six active nonheart-beating-donor programs, described the process of protocol development, and identified challenges encountered in implementing these protocols. Participants also reviewed and discussed work commissioned by the committee in preparation for the workshop and the report.
From page 3...
... Recommendation 3: As recommended in the 1997 IOM report, statistically valid observational studies of patients after the cessation of cardiopulmonary function need to be undertaken by appropriate experts. These studies should address the following: · conditions under which cardiac autoresuscitation might occur and at what time intervals, · signs, symptoms, and testing technologies that could guide the determination of death by irreversible cessation of cardiopulmonary function, and · assessment by various technological and clinical observations of the degree and permanence of loss of brain function in whole or in part following the cessation of cardiopulmonary function, Such studies are needed in order to develop further empirical and conceptual clarity on the appropriate interval between the cessation of car
From page 4...
... A thorough examination of costs and a commitment of adequate resources are critical to making non-heart-beating organ donation an option available to all patients and families. Adequate funding for education and outreach is needed to develop professional and public understanding of non-heart-beating donation, and to prepare patient care providers and organ donation personnel to participate in non-heart-beating donation.
From page 5...
... Further data is needed on: patient, family, provider, and public attitudes and concerns, the costs of non-heartbeating donation, the outcomes from non-heart-beating organ transplantation, and their effect on the willingness of transplant centers to accept organs from non-heart-beating donors.


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