The analisys of main reasons of organ shortage

Ongoing organ shortage is a crucial limiting factor of organ transplantation. Given article highlights organ donation practice in Saint-Petersburg emphasizing unsuccessful attempts of increasing the number of deceased donors. Given by analyses of neurosurgical and neurological rates of mortality last three years, the authors tried to ground the urgency of the putting in clinical practice the optimization of the transplant algorithms, organ donor's audit, and the implementation of new approach to define organ donor's process stages. In article are presented the results worked out of the metrics coefficients for estimating donation potential of emergency hospitals. The study was carried out of involvement and education in organ donation practice, legislative issues among critical care professionals, neurologists and critical care nurses. Article presented the first attempt of estimating the economical aspects of donation process in donor's hospitals. The recommendations were given for national organ donation network establishment.