Development of the University of Pittsburgh Medical Center Policy for the Care of Terminally Ill Patients Who May Become Organ Donors After Death Following the Removal of Life Support
DeVita, Michael A.
Snyder, James V.
Kennedy Institute of Ethics Journal. 1993 Jun; 3(2): 131-143.
In the mid 1980s it was apparent that the need for organ donors exceeded those willing to donate. Some University of Pittsburgh Medical Center (UPMC) physicians initiated discussion of possible new organ donor categories including individuals pronounced dead by traditional cardiac criteria. However, they reached no conclusion and dropped the discussion. In the late 1980s and the early 1990s, four cases arose in which dying patients or their families requested organ donation following the elective removal of mechanical ventilation. Controversy surrounding these cases precipitated open discussion of the use of organ donors pronounced dead on the basis of cardiac criteria. Prolonged deliberations by many committees in the absence of precedent ultimately resulted in what is, to our knowledge, the country's first policy for organ donation following elective removal of life support. The policy is intricate and conservative. Care was taken to include as many interested parties as possible in an effort to achieve representative and broad based support. This paper describes the development of the UPMC policy on non-heart-beating organ donation.
Administrators; Autonomy; Body Parts and Fluids; Cadavers; Chronically Ill; Clergy; Clinical Ethics; Clinical Ethics Committees; Communication; Consent; Death; Decision Making; Determination of Death; Donors; Dying Patients; Ethical Review; Ethicists; Ethics; Ethics Committees; Guidelines; Hearts; Hospitals; Institutional Policies; Interdisciplinary Communication; Knowledge; Lawyers; Life; Nurses; Organ Donation; Organ Donors; Organ Transplantation; Patients; Physicians; Program Descriptions; Public Participation; Review; Standards; Terminally Ill; Third Party Consent; Tissue Donation; Transplantation; Treatment Refusal; Ventilators; Withholding Treatment;
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Development of the University of Pittsburgh Medical Center Policy for the Care of Terminally Ill Patients Who May Become Organ Donors After Death Following the Removal of Life Support DeVita, Michael A.; Snyder, James V. (1993-06)
Policy and Procedure Manual: Management of Terminally Ill Patients Who May Become Organ Donors After Death Unknown author (University of Pittsburgh Medical Center, 1993-06)The University of Pittsburgh Medical Center presently has Guidelines on Forgoing Life Sustaining Treatment (Policy #4007). Patients or their surrogates can decide to forgo life sustaining treatment and the Guidelines authorize ...