Hospital-Independent Organ Recovery from Deceased Donors: A Two-Year Experience

Abstract

Early experience with deceased donor (DD) organ recovery outside of the hospital setting was found to be safe, efficient and cost effective. A 2-year experience under current practice protocols implemented to further process improvements is now reviewed. The current practice of DD recovery at the MTS facility was applicable for most recoveries, improved process efficiency, and afforded substantial cost savings without donor compromise.

Improving Societal Outcomes in the Organ Donation Value Chain

“…However, our results remain structurally similar if we add the hospital's and OPO's payoffs within the social planner's objective function. Also, apart from contractual levers, our model points to other potential operational interventions for improving organ recovery outcomes: increasing OR capacity (increasing l; Jendrisak et al 2002Jendrisak et al , 2005 4 , leveraging practices that reduce the sensitivity of organ quality to the delay experienced by the donor (decreasing q a ; Kotsch et al 2006, Li et al 2017, improving the waiting experience in the OR queue (decreasing c h ; Hall 2006, Pines et al 2008, and emphasizing HCP training to reduce the discomfort associated with organ recovery activities (decreasing c e ; DOT Grant Program Report 2005, Siminoff et al 2009).…”

“…3 The Department of Health and Human Services is a federal agency tasked with protecting the health of all US nationals and providing essential human services. 4 Jendrisak et al (2002Jendrisak et al ( , 2005 tested the outcomes of a program whereby authorized donors were transported from donor hospitals to a hospital-independent facility housing a dedicated OR for organ recovery surgery. However, this facility was financially supported by the regional OPO with no investments from the affiliated donor hospitals.…”

“…Jendrisak et al. (2005) tested the outcomes of a novel program whereby authorized donors were transported from donor hospitals to an independent facility housing a dedicated OR for organ recovery surgery. The results of their study demonstrated the benefits of timely OR access for organ recovery surgery, including improved viability of recovered organs.…”

“…, Jendrisak et al. ). From a socioeconomic standpoint, delays in the organ recovery process negatively influence the quality of the recovered organ and, hence, graft survival and quality of life of the recipient post‐transplantation (Cantin et al.…”

The AJT Report

“…2 Since then, five additional offsite centers have been established. According to Elling Eidbo, executive director of the Association of Organ Procurement Organizations, "these are impressive, state-of-the-art facilities with many resources.…”