Open Disclosure is the process of communicating with a patient and/or their support person(s) about a patient-related incident or harm caused during the process of healthcare
Clinical Governance
Tissue Donation
many more tissue donors available than organ donors; less time critical; early notification allows collection of blood specimens for nucleic acid testing and screening for viral infections; more exclusion criteria (may require full post-mortem to exclude CJD)
Palliative Care
Palliative care is distinct from curative care, which is primarily disease-specific and focused on restoration of health; Palliative care is not synonymous with end of life care, but is an important part of end of life care; As 10-20% of ICU patients will die, the transition from cure to comfort is a common and important decision to make
Medical Management of Potential Donors
Medical Management of Potential Donors
End-of-Life Care Family Meeting
The End-of-Life Care Family Meeting is a core component of ICU care; Evidence suggests that communication with families is often inadequate; The principles apply to end-of-life discussions in other settings (e.g. ED) as well
Donation after Circulatory Death (DCD)
Donation after Circulatory Death (DCD) refers to organ donation taking place once circulatory arrest has occurred following treatment withdrawal
Contraindications to Solid Organ Donation
DBD = donation after brain death; DCD = donation after cardiac death; WIT = time from treatment withdrawal until cold perfusion (most important phase = when SBP < 60mmHg)
ANZICS Statement on Death and Organ Donation
Changes in Brain Death Consensus Statement (V3.2 2013)
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