Organ procurement in an urban level I emergency department.
To determine whether an intensive educational campaign of emergency department personnel on the organ donor and procurement process would result in both increased organ donor referrals and organs procured.
A retrospective review of the performance of an urban teaching ED in identifying and referring potential organ donor candidates was performed.
Subsequently an intensive educational campaign of all ED staff, in conjunction with the Regional Organ Procurement Agency of Southern California (ROPA), was initiated.
Physicians and nurses were educated about the procurement process, and a ROPA representative was on call 24 hours a day to assist in this process.
The need for aggressive resuscitation and vital sign maintenance in potential donors as a strategy to promote organ recovery was emphasized.
Reeducation by ROPA occurred every 2 to 3 months.
The identification and referral rates were then retrospectively reviewed to evaluate any improvement.
In 1994 the initial referral rate of potential organ donors from the ED was 30% (3 of 10) resulting in no organs procured.
After the intervention the referral rate increased to 100% (25 of 25) in 1995 (P<. 0001).
The number of actual donors procured was 0 in 1994,5 in 1995, and 9 in 1996.
The increased ED referrals resulted in 14 and 32 organs procured in 1995 and 1996, respectively. (...)
Mots-clés Pascal : Campagne mesure, Zone urbaine, Service urgence, Centre hospitalier universitaire, Agent santé, Identification, Donneur, Acquisition, Organe, Etats Unis, Amérique du Nord, Amérique, Education santé, Don organe, Homme
Mots-clés Pascal anglais : Measurement campaign, Urban area, Emergency department, Teaching hospital, Health worker, Identification, Donor, Acquisition, Organ, United States, North America, America, Health education, Organ donation, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0217662
Code Inist : 002B27C. Création : 11/09/1998.