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Improving the practice of child death overview panels : a paediatric perspective
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Allen, Luke, Lenton, Simon, Fraser, James and Sidebotham, Peter (2013) Improving the practice of child death overview panels : a paediatric perspective. Archives of Disease in Childhood, Volume 99 (Number 3). pp. 193-196. doi:10.1136/archdischild-2013-305085
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Official URL: http://dx.doi.org/10.1136/archdischild-2013-305085
Abstract
Objective : In England every death in childhood is reviewed by a local multi-disciplinary Child Death Overview Panel (CDOP) with the intention of understanding causation and implementing interventions to reduce future deaths. This study aimed to establish how well panels work from the perspective of the paediatricians involved; to ascertain whether they deliver good value and identify areas for improvement.
Design : A questionnaire was sent to every CDOP paediatrician in the country (n=93). Questions focused on the quality of CDOP case discussions as well as examples of effective and significant recommendations. Responses were analysed using simple quantitative and qualitative methods.
Results : 84/93 (90%) of the paediatricians responded. Amongst respondents, 60 (71%) believe investment in CDOPs is offering good value; 73 (87%) feel that case discussions are rigorous and consistent and over 90% believe that the correct issues are emerging from discussions. However responders noted many areas for improvement: 40 (48%) suggested devolving the discussion of specialist deaths (e.g. neonates) to hospital-based review meetings or holding themed meetings with invited specialists; 11 (13%) suggested filtering out cases where learning is unlikely before full CDOP meetings and 13 (15%) called for national integration and analysis of data.
Conclusions : In this time of economic austerity it is vital that the CDOPs add value to the invested resources. Although CDOP paediatricians feel that panels are working well there is scope for improvement through enhancing relationships with commissioning bodies, aggregate review and analysis of CDOP data at a national level and consideration of specialist and/or network review of certain categories of deaths such as cardiac surgery, oncology and neonates.
| Item Type: | Journal Article | ||||||||
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| Subjects: | R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services | ||||||||
| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Children and death, Death -- Proof and certification, Pediatricians | ||||||||
| Journal or Publication Title: | Archives of Disease in Childhood | ||||||||
| Publisher: | BMJ | ||||||||
| ISSN: | 0003-9888 | ||||||||
| Official Date: | 19 November 2013 | ||||||||
| Dates: |
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| Volume: | Volume 99 | ||||||||
| Number: | Number 3 | ||||||||
| Number of Pages: | 4 | ||||||||
| Page Range: | pp. 193-196 | ||||||||
| DOI: | 10.1136/archdischild-2013-305085 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||||
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