Institute of Public Health, Georgia State University, Atlanta, Georgia, USA.
Am J Prev Med. 2010 Dec;39(6):522-8. doi: 10.1016/j.amepre.2010.08.010.
Child death review (CDR) programs examine the circumstances of children's deaths to gain information on how and why children die for the purpose of promoting the health, safety, and protection of children.
The purpose of this study was to conduct a systematic review of the 50 states and District of Columbia CDR programs, with specific focus on the use of standardized procedures and best-practice recommendations. This included assessment of which deaths are reviewed, the model of review, team membership, and standardization of data collection and reporting.
Data were collected through semistructured phone interviews with representatives of the 50 states and District of Columbia CDR programs and online sources. Data collection and analyses were conducted in 2009.
Forty-eight states and the District of Columbia have active CDR programs at the state and/or local level, and the majority use a national data collection system. However, results revealed numerous inconsistencies across programs in policies, procedures, and data collection.
This study reflects the minimal progress that has been made in the CDR process in the U.S. since the last systematic review of the programs in 2001. The study documents substantial discrepancies among the U.S. CDR programs, affecting the consistency of data obtained by individual states and, ultimately, prevention efforts at the national level. Information from this review can inform CDR programs as they develop and refine procedures and guide future research on the effectiveness and limitations of variations in procedures.
儿童死亡审查（CDR）计划审查儿童死亡的情况，以获取有关儿童死亡的方式和原因的信息，目的是促进儿童的健康、安全和保护。
本研究旨在对 50 个州和哥伦比亚特区的 CDR 计划进行系统审查，重点关注标准化程序和最佳实践建议的使用。这包括评估审查哪些死亡、审查模式、团队成员以及数据收集和报告的标准化。
通过对半结构化电话采访和在线资源，收集来自 50 个州和哥伦比亚特区 CDR 计划代表的数据。数据收集和分析于 2009 年进行。
48 个州和哥伦比亚特区在州和/或地方一级拥有活跃的 CDR 计划，并且大多数都使用国家数据收集系统。然而，结果显示，在政策、程序和数据收集方面，各计划之间存在许多不一致之处。
本研究反映了自 2001 年对该计划进行的最后一次系统审查以来，美国在 CDR 过程中取得的最小进展。该研究记录了美国 CDR 计划之间的大量差异，影响了各州获得的数据的一致性，最终影响了国家一级的预防工作。本审查的信息可以为 CDR 计划在制定和完善程序时提供信息，并指导未来关于程序差异的有效性和局限性的研究。
