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Investigations After Death in Children

Desmond Bohn1,2, David Chiasson2,3, Dirk Huyer2

  • 1Department of Critical Care Medicine, The Hospital for Sick Children, Toronto, ON, Canada.

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
|August 7, 2018
PubMed

Insights

Investigating child deaths through multidisciplinary cliniciopathologic conferences aids family closure and improves pediatric care quality. These reviews offer vital medical education and have led to significant improvements in child healthcare.

Area of Science:

  • Pediatric Pathology
  • Medical Ethics
  • Quality Improvement in Healthcare

Background:

  • Child death investigations are crucial for parental closure and addressing care concerns.
  • Tertiary care institutions benefit from these reviews for quality assurance and medical education.
  • Sudden and unexpected deaths in children necessitate thorough investigation.

Purpose of the Study:

  • To discuss the role and importance of investigations following a child's death.
  • To highlight the benefits of multidisciplinary cliniciopathologic conferences.
  • To present a model for pediatric death review.

Main Methods:

  • Literature review, expert opinion, and personal experience were utilized.
  • A multidisciplinary cliniciopathologic conference model is described.
  • Expert-moderated discussions informed the review.

Main Results:

  • Multidisciplinary cliniciopathologic conferences provide closure for families and address care concerns.
  • These conferences are integral to quality of care processes and medical education.
  • The Ontario Pediatric Death Review Committee's 30-year experience demonstrates influential improvements in child care.

Conclusions:

  • Multidisciplinary cliniciopathologic conferences are essential after a child's death.
  • Such reviews facilitate family closure, address concerns, and enhance care quality.
  • The described model has a proven track record of improving pediatric healthcare outcomes.
Abstract

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