scholarly journals Procedures in child deaths in The Netherlands: a comparison with child death review

2017 ◽  
Vol 25 (4) ◽  
pp. 357-370 ◽  
Author(s):  
Sandra Gijzen ◽  
Jessica Petter ◽  
Monique P. L’Hoir ◽  
Magda M. Boere-Boonekamp ◽  
Ariana Need
Keyword(s):  
The Netherlands ◽  
Child Death ◽  
Child Death Review ◽  
Child Deaths

scholarly journals A Service evaluation of a hospital child death review process to elucidate understanding of contributory factors to child mortality and inform practice in the English National Health Service

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e015802 ◽  
Author(s):  
Daniel S Magnus ◽  
Margrid B Schindler ◽  
Robin D Marlow ◽  
James I Fraser
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Child Mortality ◽  
National Health ◽  
Service Provision ◽  
Child Death ◽  
Service Evaluation ◽  
Child Death Review ◽  
Contributory Factors ◽  
Child Deaths

ObjectiveTo describe a novel approach to hospital mortality meetings to elucidate understanding of contributory factors to child death and inform practice in the National Health Service.DesignAll child deaths were separately reviewed at a meeting attended by professionals across the healthcare pathway, and an assessment was made of contributory factors to death across domains intrinsic to the child, family and environment, parenting capacity and service delivery. Data were analysed from a centrally held database of records.SettingAll child deaths in a tertiary children’s hospital between 1 April 2010 and 1 April 2013.Main outcome measuresDescriptive data summarising contributory factors to child deaths.Results95 deaths were reviewed. In 85% cases, factors intrinsic to the child provided complete explanation for death. In 11% cases, factors in the family and environment and, in 5% cases, factors in parenting capacity, contributed to patient vulnerability. In 33% cases, factors in service provision contributed to patient vulnerability and in two patients provided complete explanation for death. 26% deaths were classified as potentially preventable and in those cases factors in service provision were more commonly identified than factors across other domains (OR: 4.89; 95% CI 1.26 to 18.9).ConclusionsHospital child death review meetings attended by professionals involved in patient management across the healthcare pathway inform understanding of events leading to a child’s death. Using a bioecological approach to scrutinise contributory factors the multidisciplinary team concluded most deaths occurred as a consequence of underlying illness. Although factors relating to service provision were commonly identified, they rarely provided a complete explanation for death. Efforts to reduce child mortality should be driven by an understanding of modifiable risk factors. Systematic data collection arising from a standardised approach to hospital reviews should be the basis for national mortality review processes and database development.

scholarly journals National child death review statutory and operational guidance: Key concepts for practising paediatricians

2019 ◽  
Vol 105 (4) ◽  
pp. 244-250
Author(s):  
James Fraser ◽  
Vicky Sleap ◽  
Peter Sidebotham
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Healthcare Professionals ◽  
Child Death ◽  
Building Blocks ◽  
Senior Leaders ◽  
Child Death Review ◽  
Child Deaths ◽  
Key Concepts ◽  
Operational Guidance

In October 2018, National Health Service England published new operational guidance for reviewing child deaths, which covers all children who die less than 18 years of age regardless of the cause of death. The Guidance is for all healthcare professionals caring for children as well as senior leaders who commission, provide or regulate children’s services. It does not aim to be prescriptive but instead sets out a framework of expectations that intends to be flexible and proportionate. Its essential building blocks will be familiar to practising paediatricians: notification, investigation, review and reporting. It should be regarded as a key pillar in the hospital’s governance program.

scholarly journals Stakeholders’ opinions on the implementation of Child Death Review in the Netherlands

2016 ◽  
Vol 9 (1) ◽  
Author(s):  
Sandra Gijzen ◽  
Monique P. L’Hoir ◽  
Magda M. Boere-Boonekamp ◽  
Ariana Need
Keyword(s):  
The Netherlands ◽  
Child Death ◽  
Child Death Review

Reporting Fatal Neglect in Child Death Review

2018 ◽  
Vol 21 (2) ◽  
pp. 382-392 ◽  
Author(s):  
Debbie Scott
Keyword(s):  
Risk Factors ◽  
Child Death ◽  
Inclusion Criteria ◽  
Reporting Practices ◽  
Factors Associated ◽  
Child Death Review ◽  
Child Deaths ◽  
Reporting Practice ◽  
Policies And Procedures ◽  
The Impact

Child death reviews are conducted with the aim of preventing child deaths however, definitions, inclusion criteria for the review of child deaths and reporting practices vary across Child Death Review Teams (CDRTs). This article aims to identify a common context and understanding of fatal neglect reporting by reviewing definitional issues of fatal neglect and comparing reporting practice across a number of CDRTs. Providing a consistent context for identifying and reporting neglect-related deaths may improve the understanding of the impact of fatal neglect and the risk factors associated with it and therefore, improve the potential of CDRT review to inform prevention programs, policies, and procedures.

scholarly journals Implementation of Child Death Review in the Netherlands: results of a pilot study

2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Sandra Gijzen ◽  
Michaëla I. Hilhorst ◽  
Monique P. L’Hoir ◽  
Magda M. Boere-Boonekamp ◽  
Ariana Need
Keyword(s):  
Pilot Study ◽  
The Netherlands ◽  
Child Death ◽  
Child Death Review

scholarly journals Child deaths in South Africa: Lessons from the child death review pilot

2016 ◽  
Vol 106 (9) ◽  
pp. 851 ◽  
Author(s):  
Shanaaz Mathews ◽  
Lorna J Martin ◽  
David Coetzee ◽  
Chris Scott ◽  
Yasheen Brijmohun
Keyword(s):  
South Africa ◽  
Child Death ◽  
Child Death Review ◽  
Child Deaths

scholarly journals Restraint Factors and Child Passenger Deaths in New South Wales, Australia

2020 ◽  
Vol 17 (4) ◽  
pp. 1147
Author(s):  
Tom Whyte ◽  
Bianca Albanese ◽  
Jane Elkington ◽  
Lynne Bilston ◽  
Julie Brown
Keyword(s):  
New South ◽  
Child Death ◽  
New South Wales ◽  
Child Death Review ◽  
Child Deaths ◽  
Restraint Use ◽  
South Wales ◽  
Review Team ◽  
Medical Reports

Inappropriate or incorrect use of child restraints can influence crash injury outcome. This study examined the role of restraint factors in child passenger deaths and the effect of legislation requiring appropriate restraint systems up to 7 years old. Data for child (0–12 years) passenger deaths occurring in New South Wales (NSW) from 2007 to 2016 were collected by the child death review team including photographs, reports of in-depth crash investigation, witness reports and medical reports. Restraint use, type of restraint, appropriateness of the restraint for the age of the child and correctness of restraint use were examined. The primary contributor to death was determined in each case. Sixty-four child passengers died in NSW during the data period. Twenty-nine (29/64, 45%) were properly restrained. Thirteen children (13/64, 20%) were unrestrained. In 20 cases (20/64, 31%), children were using a restraint that was either inappropriate for their age (6) or not used correctly (14). Restraint factors were a primary contributor in 22 (22/64, 34%) child deaths. Compared to pre-legislation, appropriate restraint use was more common post-legislation (13/22. 59% vs. 30/42, 71%). However, incorrect use was also greater (3/22, 14% vs. 11/42, 26%). Interventions targeting increasing restraint use and reduction of common ‘use’ errors are needed to prevent further restraint factor-related deaths.

scholarly journals Quality of investigations into unexpected deaths of infants and young children in England after implementation of national child death review procedures in 2008: a retrospective assessment

2019 ◽  
Vol 105 (3) ◽  
pp. 270-275 ◽  
Author(s):  
Peter Fleming ◽  
Anna Pease ◽  
Jenny Ingram ◽  
Peter Sidebotham ◽  
Marta C Cohen ◽  
...  
Keyword(s):  
Child Death ◽  
Unexpected Death ◽  
Infant Deaths ◽  
Child Death Review ◽  
Telephone Interviews ◽  
Retrospective Assessment ◽  
Child Deaths ◽  
National Guidance ◽  
Infants And Young Children

ObjectivesIn 2008, new statutory national procedures for responding to unexpected child deaths were introduced throughout England. There has, to date, been no national audit of these procedures.Study designFamilies bereaved by the unexpected death of a child under 4 years of age since 2008 were invited to participate. Factors contributing to the death and investigations after the death were explored. Telephone interviews were conducted, and coroners’ documents were obtained. The nature and quality of investigations was compared with the required procedures; information on each case was reviewed by a multiagency panel; and the death was categorised using the Avon clinicopathological classification.ResultsData were obtained from 91 bereaved families (64 infant deaths and 27 children aged 1–3 years); 85 remained unexplained after postmortem examination. Documentation of multiagency assessments was poorly recorded. Most (88%) families received a home visit from the police, but few (37%) received joint visits by police and healthcare professionals. Postmortem examinations closely followed national guidance; 94% involved paediatric pathologists; 61% of families had a final meeting with a paediatrician to explain the investigation outcome. There was no improvement in frequency of home visits by health professionals or final meetings with paediatricians between 2008–2013 and 2014–2017 and no improvement in parental satisfaction with the process.ConclusionsStatutory procedures need to be followed more closely. The implementation of a national child mortality database from 2019 will allow continuing audit of the quality of investigations after unexpected child deaths. An important area amenable to improvement is increased involvement by paediatricians.

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