Identifying When, Why and How to Analyze and Learn from Deaths in Healthcare Settings

The views expressed in the rapid synthesis are the views of the authors and should not be taken to represent the views of the Ministry of Health and Long-Term Care or McMaster University. [...] For primary the ways in which data and information are collected and research (if included), we documented the focus of the study, methods used, a description of the sample, the used.(3-5) The studies about CDOP in England focused jurisdiction(s) studied, key features of the intervention, on pediatrician panel members,(6) the experiences of a and key findings. [...] These problems include: • inaccuracies in the process of death certification; • restrictions imposed by reliance on single causes of death and different systems for grouping cause of death; and • the inability of data/information management systems to go beyond identification of what a child died from to consideration of how and why the child died.(3) The second review profiled child death review [...] The review noted that such approaches to data collection and aggregation are needed to facilitate the identification of trends in child mortality.(4) Lastly, a review of active child death review programs in 48 states and the District of Columbia focused on standardized procedures and best practices, and found a lack of consistency among programs in data collection methods, which created difficult [...] The study found that the intervention led to measurable improvements in child death review team functioning and in the quality of recommendations generated.(9) Suggestions to enhance the development and use of recommendations to inform the design and implementation of initiatives to prevent future child injuries and deaths were also identified in these three studies and others included in this sec