{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T18:38:33Z","timestamp":1765823913060,"version":"3.48.0"},"reference-count":14,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2016,1,14]]},"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Anecdotal evidence suggests that organ donation from deceased donors referred to the Coroner\/Procurator Fiscal (PF) could be increased if all followed best practice. The aim of this prospective audit was to establish how referrals affected organ donation and to develop evidence-based guidelines to ensure that organ donation can be facilitated safely without interfering in the Coroner\/PF's investigative process.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Prospective audit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>All acute National Health Service Hospitals in the UK where deceased organ donation was considered.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>1437 deceased patients who met the eligibility criteria for organ donation and were referred to Coroner\/PF.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>Number of cases where permission for transplantation was given, number of organs where permission was refused and number of organs which might have been transplanted if all had followed best practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Full permission for organ retrieval was given in 87% cases and partial permission in 9%. However, if full permission had been given where no autopsy was performed or restrictions seemed unjustified, up to 77 organs (22 lungs, 22 kidneys, 9 pancreases, 9 livers, 8 hearts and 7 small bowels) could have been available for transplant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Coroners\/PFs and their officers show strong support for transplantation but improvement in practice could result in a small but significant increase in life-saving and life-enhancing transplants.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2015-010231","type":"journal-article","created":{"date-parts":[[2016,7,12]],"date-time":"2016-07-12T00:43:28Z","timestamp":1468284208000},"page":"e010231","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Prospective audit to evaluate the potential of the coronial system to increase solid organ donation"],"prefix":"10.1136","volume":"6","author":[{"given":"Huw","family":"Twamley","sequence":"first","affiliation":[{"name":"Consultant in Anaesthesia and Critical Care, Royal Preston Hospital, Preston, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Haigh","sequence":"additional","affiliation":[{"name":"Coroner's Court, Stafford, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claire","family":"Williment","sequence":"additional","affiliation":[{"name":"Head of Transplant Development, NHS Blood and Transplant, Bristol,"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cara","family":"Hudson","sequence":"additional","affiliation":[{"name":"NHS Blood and Transplant, Bristol, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Whitney","sequence":"additional","affiliation":[{"name":"NHS Blood and Transplant, Bristol, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Neuberger","sequence":"additional","affiliation":[{"name":"NHS Blood and Transplant, Bristol, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,7,8]]},"reference":[{"key":"2025121510342625000_6.7.e010231.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.trre.2013.01.002"},{"key":"2025121510342625000_6.7.e010231.2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001307"},{"key":"2025121510342625000_6.7.e010231.3","unstructured":"NICE Clinical Guideline 135. Organ donation for transplantation. Costing report. December 2011. http:\/\/www.nice.org.uk\/guidance\/CG135"},{"key":"2025121510342625000_6.7.e010231.4","doi-asserted-by":"crossref","first-page":"1196","DOI":"10.1097\/TP.0b013e318256a45f","article-title":"Decision-making by relatives about brain death organ donation: an integrative review","volume":"93","author":"de Groot","year":"2012","journal-title":"Transplantation"},{"key":"2025121510342625000_6.7.e010231.5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-0012.2008.00790.x"},{"key":"2025121510342625000_6.7.e010231.6","doi-asserted-by":"publisher","DOI":"10.1097\/01.TP.0000438215.16737.68"},{"key":"2025121510342625000_6.7.e010231.7","unstructured":"The Coroners\u2019 Society of England and Wales. http:\/\/www.coronerssociety.org.uk"},{"key":"2025121510342625000_6.7.e010231.8","unstructured":"Crown Office and Procurator Fiscal Service. http:\/\/www.copfs.gov.uk"},{"key":"2025121510342625000_6.7.e010231.9","unstructured":"Taking Organ Transplantation to 2020. http:\/\/www.nhsbt.nhs.uk\/to2020\/"},{"key":"2025121510342625000_6.7.e010231.10","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38804.658183.55"},{"key":"2025121510342625000_6.7.e010231.11","unstructured":"Academy of Medical Royal Colleges. A code of practice for the diagnosis and confirmation of death. http:\/\/www.aomrc.org.uk (accessed 17 Dec 2015)."},{"key":"2025121510342625000_6.7.e010231.12","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1080\/15265161.2014.925155","article-title":"Constructing the legal concept of death: the counterharmonic option","volume":"14","author":"Epstein","year":"2014","journal-title":"Am J Bioeth"},{"key":"2025121510342625000_6.7.e010231.13","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aer402"},{"key":"2025121510342625000_6.7.e010231.14","unstructured":"Clinical Contraindications to approaching families for possible organ donation. Pol 188\/5.1. http:\/\/www.odt.nhs.uk (accessed 17 Dec 2015)."}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2015-010231","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T18:34:32Z","timestamp":1765823672000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2015-010231"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,7]]},"references-count":14,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2016,7,8]]},"published-print":{"date-parts":[[2016,7]]}},"alternative-id":["10.1136\/bmjopen-2015-010231"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2015-010231","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"type":"print","value":"2044-6055"},{"type":"electronic","value":"2044-6055"}],"subject":[],"published":{"date-parts":[[2016,7]]}}}