儿童死亡审查的作用有多大：一个地区的视角
How useful are child death reviews: a local area's perspective.
作者信息
Mazzola Francesca, Mohiddin Abdu, Ward Malcolm, Holdsworth Gillian
出版信息
BMC Res Notes. 2013 Jul 26;6:295. doi: 10.1186/1756-0500-6-295.
BACKGROUND
Child Death Overview Panels (CDOP) provide a multidisciplinary and confidential forum to learn from and reduce deaths in those under 18 years. How well they perform and how to improve their effectiveness is a question posed at both local and national levels in England. With this in mind, this study looked at the child death review process in two London boroughs with a joint CDOP.
FINDINGS
Data on cases reviewed from April 2008 to January 2011 were analysed focusing on cause of death and modifiable factors. Key stakeholders involved in the child death review process were interviewed regarding the effectiveness of the local death review process with responses analysed thematically.
CONCLUSIONS
The current process is bureaucratic, should better address neonatal deaths and needs more focus on implementing recommendations. Solutions include simpler forms, neonates-only subgroups, and linking recommendations to strategic initiatives such as Health and Wellbeing Boards.
背景
儿童死亡概况小组（CDOP）提供了一个多学科且保密的论坛，以便从中吸取经验并减少18岁以下儿童的死亡。它们的表现如何以及如何提高其有效性是英格兰地方和国家层面都提出的一个问题。考虑到这一点，本研究考察了两个设有联合儿童死亡概况小组的伦敦行政区的儿童死亡审查过程。
研究结果
对2008年4月至2011年1月期间审查的病例数据进行了分析，重点关注死亡原因和可改变因素。就地方死亡审查过程的有效性，对参与儿童死亡审查过程的关键利益相关者进行了访谈，并对他们的回答进行了主题分析。
结论
当前的流程过于官僚化，应更好地处理新生儿死亡问题，并且需要更加注重建议的落实。解决方案包括采用更简单的表格、仅针对新生儿的分组，以及将建议与健康和福祉委员会等战略举措相联系。
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