title: Obtaining organ donation: who should ask?
abstract: OBJECTIVE
  To assess the impact of a decoupled presentation of the option of organ donation by an organ procurement organization representative on organ donation rates.
  
  
  METHODS
  Retrospective chart review.
  
  
  METHODS
  A tertiary care university medical center.
  
  
  METHODS
  Patients declared dead by neurologic criteria during the 2-year period January 1, 1992, through December 31, 1993.
  
  
  METHODS
  The addition, for the calendar year 1993, of an institutionally dedicated organ procurement organization representative to present the option of organ donation with the use of the technique of decoupling.
  
  
  RESULTS
  The rate of donation increased from 38% to 59% with the addition of an institutionally dedicated organ procurement organization representative and the routine use of decoupling.
  
  
  CONCLUSIONS
  When a dedicated representative from the local organ procurement organization, rather than the physician, presents the option of donation and decouples the discussion of death by neurologic criteria from the presentation of the option of donation, the rate of donation significantly increases.
authors.affiliation: Department of Internal Medicine, Loma Linda University Medical Center, CA 92354, USA.
authors.forename: W R
authors.initials: WR
authors.lastname: von Pohle
mesh_terms: D000046:Academic Medical Centers; D003142:Communication; D006801:Humans; D012189:Retrospective Studies; D014019:Tissue Donors; D009927:Tissue and Organ Procurement / Q000379:methods*