OPTN updates DCD policy; changes take effect Nov. 18, 2026

The OPTN and UNOS presented a webinar outlining a substantial update to donation‑after‑circulatory‑death (DCD) policy approved Aug. 20, 2026, designed to strengthen patient safety and standardize practices across the organ donation system. Dr. McGee said DCD donations have grown sharply in recent years, noting that "DCD donors represented about 12% of all deceased donors in 2010 and 43% in 2024; last year they accounted for just over half." The policy package implements a formal patient‑safety mechanism called an "unplanned DCD pause," new registration and documentation requirements for organ procurement organizations (OPOs), and clarified reporting timelines.

Why it matters: the changes aim to align OPTN policy with federal guidance and existing clinical practices to improve transparency and consistent handling of DCD cases. Webinar presenters said the updates reflect a directive from the Health Resources and Services Administration and prior OPTN committee work. The speakers reiterated the implementation schedule and resources: UNOS Connect training modules planned for Oct. 1, additional guidance and an FAQ to be posted on the OPTN site, and a policy effective date of Nov. 18, 2026.