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Non-Heart-Beating Organ Transplantation: Practice and Protocols (2000)

Chapter: APPENDIX A Statement of Task

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Suggested Citation:"APPENDIX A Statement of Task." Institute of Medicine. 2000. Non-Heart-Beating Organ Transplantation: Practice and Protocols. Washington, DC: The National Academies Press. doi: 10.17226/9700.
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APPENDIX A
Statement of Task

NON-HEART-BEATING TRANSPLANTATION II: THE SCIENTIFIC AND ETHICAL BASIS OF PRACTICE AND PROTOCOLS

Major Unit: IOM

Division, Office or Board: Health Care Services

Subject Committee: Non-Heart-Beating Organ Transplantation II: The Scientific and Ethical Basis for Practice and Protocol

Staff Officer Name: Ellen Agard

Statement of Task:

This project follows on the Institute of Medicine’s report, Non-Heart-Beating Organ Transplantation: Medical and Ethical Issues in Procurement (1997). For this project, the Steering Committee will engage in a process of communication and consultation to 1) familiarize all relevant parties with the 1997 IOM report, 2) to identify obstacles to implementing its recommendations, and 3) to facilitate the development of organ procurement practices consistent with the principles and recommendations articulated in the IOM report. The committee also may recommend further research or additional activities in support of the goals of this project.

The Steering Committee will include experts in law, medicine, and ethics. Additional expertise will incorporated through the participation of key groups and organizations involved in organ transplantation. The Steering Committee and project staff will consult with experts, and with those directly engaged in non-heart-beating organ transplantation, in order to identify participants for a national workshop. The national workshop will provide a forum for sharing information and promoting communication among interested parties and representatives of key groups, and for discussing any outstanding problems identified in non-heart-beating organ transplantation. A primary goal of this workshop will

Suggested Citation:"APPENDIX A Statement of Task." Institute of Medicine. 2000. Non-Heart-Beating Organ Transplantation: Practice and Protocols. Washington, DC: The National Academies Press. doi: 10.17226/9700.
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be to encourage participation by all OPOs in the development of voluntary protocols and practices consistent with the principles in the 1997 IOM report.

A report of the proceedings and recommendations from the national workshop will be prepared and disseminated to project participants, federal and state agencies concerned with transplantation policy, OPOs, transplant coordinators, and relevant health care providers.

Sponsor(s): Department of Health and Human Services

Date of Statement: 01/07/99, editorial revisions

Date of Previous Statement: 07/14/98

Suggested Citation:"APPENDIX A Statement of Task." Institute of Medicine. 2000. Non-Heart-Beating Organ Transplantation: Practice and Protocols. Washington, DC: The National Academies Press. doi: 10.17226/9700.
×
Page 93
Suggested Citation:"APPENDIX A Statement of Task." Institute of Medicine. 2000. Non-Heart-Beating Organ Transplantation: Practice and Protocols. Washington, DC: The National Academies Press. doi: 10.17226/9700.
×
Page 94
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In 1997, the Institute of Medicine published a report entitled Non-Heart- Beating Organ Transplantation: Medical and Ethical Issues in Procurement. The findings and recommendations of that study defined the ethical and scientific basis for non-heart-beating organ donation and transplantation, and provided specific recommendations for practices that affirm patient welfare, promote patient and family choice, and avoid conflicts of interest.

Following the 1997 study, the Department of Health and Human Services requested a follow up study to promote such efforts. The central activity for this study was a workshop held in Washington, D.C., on May 24-25, 1999. The workshop provided the opportunity for extensive dialogue on non-heart-beating organ donation among hospitals and organ procurement organizations (OPOs) that are actively involved in non-heartbeating organ and tissue donation and those with concerns about whether and how to proceed.

The findings and recommendations of this report are based in large measure on the discussions and insights from that workshop. Non-Heart-Beating Organ Transplantation includes seven recommendations for developing and implementing non-heart-beating-donor protocols. These recommendations were based on the findings and recommendations from the 1997 IOM report and consensus achieved among participants at the national workshop. The committee developed these recommendations as steps towards an approach to non-heart-beating-donor organ donation and procurement consistent with underlying scientific and ethical guidelines, patient and family options and choices, and public trust in organ donation.

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