Opt out organ donation: a rapid evidence review

BAME

Black, Asian and Minority Ethnic

CLOD

Clinical Lead for Organ Donation

authorisation

Give permission for something to happen (in this case deceased donation)

Deceased donation

Deceased donation includes:

• Brain stem death - This is where a person no longer has activity in their brain stem due to a severe brain injury. They have permanently lost the potential for consciousness and the capacity to breathe. This may happen even when a ventilator is keeping the person's heart beating and oxygen is circulated through their blood.
• Circulatory death - Is the irreversible loss of function of the heart and lungs after a cardiac arrest from which the patient cannot or should not be resuscitated. It can also be the planned withdrawal of life-sustaining treatment from a patient within the Intensive Care Unit or the Emergency Department.

Living donation

Whilst you are still alive you can choose to donate a kidney, a small section of your liver, discarded bone from a hip or knee replacement and also your amniotic membrane (placenta).

ICU

Intensive Care Unit

NHS BT

National Health Service Blood and Transplant

opt in system

An informed or explicit consent system

opt out system

A presumed consent system (a more detailed definition is provided in the text)

organ donation

The process of removal and transplantation of viable organs from a living or deceased donor to recipient

organ donor register ( ODR)

Organ Donor Register: A confidential list of people who want to donate, or not donate, their organs and/or tissue

SNOD

Specialist Nurse for Organ Donation