Research On Ethical Review Of Cadaveric Liver Transplantation

PurposeEthical review is an important procedure and necessary link to ensure the compliant development of organ transplantation,and its specific practice should be further paid attention to,and the relevant rights and interests of patients should and must be protected.In recent years,the number of patients with end-stage liver disease has increased year by year,and liver transplantation is the best treatment for end-stage liver disease.As an important category of organ transplantation,the number of transplants per year is generally small,mainly due to the extreme shortage of liver sources,organ donation after the death of citizens is the main source of donor liver,and each cadaveric liver transplant must pass the ethical review of the ethics committee of the transplant hospital before it can be carried out.However,the ethical review of cadaveric liver transplantation has not implemented the relevant rules and regulations in the specific practice process,and patients are still in a weak position,and patients’ rights and interests still need attention.This study discusses and analyzes the cases in the specific practice of cadaveric liver transplantation ethical review,discusses the problems and causes of the protection of patients’ relevant rights and interests,and then puts forward practical protection suggestions.ObjectEthical review practice process of cadaveric liver transplantation: the review process and communication review process of partial cadaveric liver transplantation conference carried out by the target transplant hospital in the past two years.MethodQualitative research: Participated in the ethical review meeting of cadaveric liver transplantation in a tertiary transplant hospital in Shanxi Province through nonparticipatory observation method,a total of 18 times,including conference review and communication review,the two are distinguished by the venue and urgency of the meeting,the number of cases per review is 1-3 cases,a total of 31 cases,providing direct and indirect data for subsequent case analysis.The case analysis method was used to discuss and analyze the obtained case data such as meeting notes and disease introductions,and explore the hidden problems related to the protection of patients’ rights and interests behind the cases.ResultThrough the analysis of the case data,the following results were obtained: the problems in the ethical review form of cadaveric liver transplantation include the lack of informed consent,the vagueness of the informed consent process,the impartiality of "leave",and the "organ acceptance confirmation" "Concealment".Problems existing in the ethical review process of cadaveric liver transplantation include unreasonable composition of the participating committee members of the ethical review meeting,"speciousness" of medical professional committee members,"seeing flowers in a fog" of non-medical professional committee members,lack of personal information of patients,and family conditions of patients missing.ConclusionBased on the perspective of ethics,this study analyzes the cases of ethical review of cadaveric liver transplantation,and puts forward the relevant requirements of the ethical review system that should be strictly implemented in view of the problems found in the practice of ethical review.On this basis,supplement and refine the specific practical requirements in different forms of ethical review.For example,in terms of informed consent,ethics experts are invited to directly participate in the process of informed consent.In terms of committee construction,strengthen the selection of ethics committee members,carry out targeted training and assessment for ethics committee members,so as to better promote the ethics committee to play its due role;in terms of ethics review meetings,it is recommended to include important materials such as case reports Supplement relevant important information of patients,and reasonably slow down the ethical review meeting,so as to fully implement the "original intention" of ethical review,and finally effectively protect the relevant rights and interests of patients.