Child deaths: confidential enquiry into the role and quality of UK primary care.

摘要: Background: In 2006 the Confidential Enquiry into Maternal and Perinatal Deaths was extended to pilot a collection of child deaths. This helped optimise data for local safeguarding children's boards, which, since April 2008, have statutory responsibility review all Reviewing primary care records may highlight areas in which systems, skills, could be improved. Aim: To role quality Design study: enquiry Setting: Five regions UK: North-East, South-West West Midlands, Wales, Northern Ireland. Method: The confidential collected core deaths (age range 28 days 17 years) an age-stratified sample assessed by multidisciplinary panels avoidable factors. An independent detailed conducted on children North-East region who were reviewed panel other four regions. Results: Primary 168 There 25 (15%) from acute infection, 22 (13%) cancer, 11 (7%) asthma or epilepsy. Fifty-nine (35%) sudden: sudden unexplained death infancy, suicides, assaults. Of 149 with immunisation records, only 88 (59%) had been fully vaccinated time. One more professionals involved management 90 (54%) children. Avoidable factors identified 18 (20%) these included failure recognition serious vaccinate, inadequate Conclusion: Decisions made about diagnosis affect cause, time, circumstances child's death. Maintaining skills assessing acutely ill remains essential part good clinical practice. ©British Journal General Practice.