University of Northern British Columbia, British Columbia, Canada.
University of Liverpool, Liverpool, UK.
J Child Health Care. 2020 Jun;24(2):274-296. doi: 10.1177/1367493519844101. Epub 2019 May 8.
Child death overview panels (CDOPs) were set up in the United Kingdom following the confidential enquiry into maternal and child health. Their scope is to identify learning points and modifiable factors that focus on improving services and prevent further deaths. In the light of UK national review and subsequent legislative changes to local safeguarding arrangements, we wanted to share the lessons learnt from our local network study during this time of transition. At times of system change, organizational memory can be eroded, which results in lost opportunities to further strengthen multi-agency working in practice. Overall, our local study highlighted key learning points which could be of use in emergent safeguarding partnerships. Professionals need to continue to actively pursue and create opportunities to collect and collate comprehensive data and promote collaborative multi-agency arrangements. Panels need to be responsive to all partners involved in the safeguarding process, which includes parents. A level of reciprocity needs to be nurtured for safeguarding panel members and acute care providers to work in ways which promote learning, consider emotional support systems and explore ways to define and mobilize knowledge that can inform the safeguarding process and prevent future avoidable child deaths.
儿童死亡概述小组（CDOP）在英国母婴健康机密调查后成立。其范围是确定学习要点和可修改因素，重点是改善服务并防止进一步死亡。鉴于英国国家审查以及随后对当地保护安排的立法改革，我们希望在这个过渡时期分享我们当地网络研究中获得的经验教训。在系统变革时期，组织记忆可能会被削弱，从而错失进一步加强多机构合作的机会。总的来说，我们的本地研究强调了在紧急保护伙伴关系中可能有用的关键学习要点。专业人员需要继续积极寻求和创造机会，收集和整理全面的数据，并促进协作的多机构安排。小组需要对参与保护过程的所有合作伙伴（包括父母）做出回应。需要培养互惠互利的关系，以使保护小组成员和急症护理提供者以促进学习、考虑情感支持系统以及探索定义和调动知识的方式开展工作，这些知识可以为保护过程提供信息并防止未来可避免的儿童死亡。
