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Updated: Jun 4, 2026

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
Published on: August 5, 2020
The ritual: death pronouncement
1Division of Neonatology, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, TN 37232-9544, USA. Brian.Carter@Vanderbilt.edu
Insights
Pediatricians infrequently pronounce death, but it is common for pediatric hospitalists and intensivists. This guide offers key concepts for practice and training in pediatric death pronouncement.
Area of Science:
- Pediatric Medicine
- Critical Care Medicine
Background:
- Death pronouncement is an infrequent event for general pediatricians.
- It is a more common occurrence for hospitalists and pediatric intensivists in intensive care settings.
- Pediatric hospitalists may encounter death pronouncements across various hospital locations.
Observation:
- The abstract highlights the differential frequency of death pronouncement based on pediatric subspecialty.
- It notes the hospital setting as the predominant location for pediatric deaths.
Findings:
- The study focuses on the practical aspects and educational needs surrounding death pronouncement in pediatrics.
- Key concepts for clinical practice and trainee education are presented.
Implications:
- Provides essential guidance for pediatricians, particularly hospitalists and intensivists, on managing death pronouncements.
- Aims to improve the education and preparedness of trainees in handling pediatric end-of-life care scenarios.
Background:
Death pronouncement comes infrequently for the pediatrician. The place of death for most children is in the hospital. For hospitalists and pediatric intensivists in the neonatal intensive care or pediatric intensive care units, death pronouncement is not uncommon. For hospitalist physicians, the call to attend a code or to pronounce a death may come on any given shift and from almost anywhere in the hospital.
Conclusion:
A demonstrative case is provided, followed by key concepts for practice and for educating trainees.
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