Modifying our approach to consent for organ donation to honor the patient's wishes based on DMV donor designation rather than ask for permission increased organ procurement in this population to 100%. However, further efforts are needed at the state and national levels regarding the recognition of first-person consent for organ donation.

DMV designation for organ donation increases the yield of consent for organ donation. However, despite prior DMV designations for donation, 20% of families ultimately denied consent for donation. This translated into 17 missed opportunities for potential transplant recipients during the 3-month study period.