Exploration on standardized management of ethical review of organ donation after citizen’s death
10.3969/j.issn.1674-7445.2023134
- VernacularTitle:公民逝世后器官捐献伦理审查的规范化管理探索
- Author:
Yishan ZHANG
1
;
Fengjuan GU
1
;
Jing ZHOU
1
;
Hui ZHANG
1
;
Chao QIN
1
;
Yuliang LIU
1
;
Ling XU
1
;
Jian KANG
1
Author Information
1. Department of Medical Administration, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.
- Publication Type:TransplantationEthics
- Keywords:
Organ donation after citizen's death;
Organ transplantation;
Organ Procurement Organization;
Ethical review of transplantation;
Ethics Committee;
Standardized management;
Attendance rate;
Review duration
- From:
Organ Transplantation
2023;14(6):884-891
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the standardized management mode of the Ethics Committee for organ donation after citizen’s death in hospitals. Methods The situations of ethical review before and after the standardized adjustment of the Ethics Committee of human organ donation in the First Affiliated Hospital of Chongqing Medical University were retrospectively analyzed. Baseline data of donors before and after standardized adjustment of the Ethics Committee of human organ donation were compared. The influence of standardized adjustment of the Ethics Committee on the attendance rate of committee members and duration of ethical review were analyzed. Results No significant differences were observed in donors' ethical review data, such as gender, age and death determination, before and after standardized adjustment of Ethics Committee structure (all P>0.05). Significant difference was noted regarding the cause of death in ethical review (P<0.05). Univariate analysis showed that there were significant differences in the impact of Ethics Committee standardization adjustment and cause of death on the attendance rate of committee members (both P<0.05). Multivariate analysis revealed that gender, cause of death and standardized adjustment of the Ethics Committee were the influencing factors of the attendance rate of committee members, and the attendance rate of committee members after standardized adjustment was higher than that before adjustment (P<0.05). Univariate analysis showed that there were statistically significant differences in the effects of Ethics Committee standardized adjustment, attendance rate of committee members and cause of death on the duration of ethical review (all P<0.05). Multivariate analysis indicated that standardized adjustment of the ethics committee was the influencing factor of the duration of ethical review, and the duration of ethics review after standardized adjustment was shorter than that before adjustment (P<0.05). Conclusions Appropriate arrangement of the total number of ethics committee members and standardizing the review process may improve the efficiency of ethical review. Scientific evaluation mechanism for ethical committee members should be established by dynamically adjusting the ethical committee members, clarifying the responsibilities and tasks of members and secretaries, aiming to further improve standardized management level of ethical review for organ donation after citizen’s death.
