000004050 001__ 4050 000004050 005__ 20240124114244.0 000004050 0247_ $$2DOI$$a10.6083/m48k785c 000004050 037__ $$aIR 000004050 245__ $$aClinical & organizational ethical considerations in determining death and its role in organ donation 000004050 260__ $$bOregon Health and Science University 000004050 269__ $$a2017 000004050 336__ $$aAnthology 000004050 520__ $$aIn 1981 the United States Uniform Determination of Death Act (UDDA) expanded the legally recognized forms of death to either (1) the irreversible cessation of circulatory and respiratory functions, or (2) the irreversible cessation of all functions of the entire brain. The second and new definition is most commonly referred to as death by neurological criteria or brain death. Both cardiopulmonary and brain death are intricately linked to organ transplantation, and the supply of organs. In the US, donation after brain death is the source of the majority of organs. It is also more likely to result in multiple transplantable organs from a single donor, and is currently the only dependable source for heart transplants. Since the UDDA, the legal definition of death has remained unchanged, but there continues to be public and academic controversy regarding the processes surrounding death and organ transplantation. The history of the legal and ethical determination of death is deeply intertwined with the history of organ procurement and transplantation and these interdependent processes result in medico-legal inquiries in addition to a variety of organizational and clinical ethical considerations. Some specific considerations include societal and organizational constitution of death, the public perception of death and the role it plays in defining death, and the role of organ donation and procurement with the withdrawal of life support. 000004050 650__ $$aBrain Death$$015793 000004050 650__ $$aTissue and Organ Procurement$$023268 000004050 6531_ $$adead-donor rule 000004050 691__ $$aSchool of Medicine$$041369 000004050 692__ $$aDivision of Management$$041635 000004050 7001_ $$aWhite, Corey$$uOregon Health and Science University$$041354 000004050 8564_ $$95ef9fe2b-79b5-4a2a-ab21-af4c1764b831$$s334283$$uhttps://digitalcollections.ohsu.edu/record/4050/files/Clinical___Organizational_Ethical_Considerations_in_Determining_D.pdf 000004050 905__ $$a/rest/prod/pc/28/9j/42/pc289j424 000004050 909CO $$ooai:digitalcollections.ohsu.edu:4050$$pstudent-work 000004050 980__ $$aReflections on Healthcare Management