A multiagency protocol for responding to sudden unexpected death in in
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《英国医生杂志》
1 Department of Community Child Health, South Downs Health NHS Trust, Royal Alexandra Hospital for Sick Children, Brighton BNI 3JN anne.livesey@southdowns.nhs.uk
Introduction
The implementation of a multiagency protocol for managing sudden and unexpected deaths in childhood had serious deficiencies. These may have arisen from a lack of overall leadership and responsibility, failure to anticipate its implications, and non-compliance by some individuals. This occurred even though it had been drawn up in consultation with all the relevant disciplines
What is already known on this topic
A uniform system for the care and investigation of sudden unexpected death in infancy is recommended in a national protocol
What this study adds
Implementation of this multiagency protocol had serious deficiencies; strong and clear lines of responsibility within and between the agencies are needed and was approved by coroners, area child protection committees, and senior managers.
Although numbers were small, reflecting the rarity of these deaths, and though responses were incomplete, more than half the parents and professionals contacted responded, and coroners provided access to all relevant data. Parents provided valuable feedback on local practice; this will be useful in future evaluations.
Effective implementation of a national protocol will need strong lines of intra-agency and interagency accountability and may need statutory backing.
This article was posted on bmj.com on 13 December 2004: http://bmj.com/cgi/doi/10.1136/bmj.38323.652523.F7
Editorial by Platt
I thank parents in Sussex, the Sussex Coroners, Edmund Hick (Sussex Police), Eleanor Ennis and Chris Bacon (Foundation for the Study of Infant Deaths), and Rachel Taylor and Ann Skinner.
Contributors: Eleanor Ennis interviewed some of the parents. AL is the sole author.
Funding: Foundation for the Study of Infant Deaths.
Competing interests: None declared.
Ethical approval: Given by all local research ethics committees.
References
Royal College of Pathologists and Royal College of Paediatrics and Child Health. Sudden unexpected death in infancy. London: RCP and RCPCH, 2004. www.rcpath.org/resources/pdf/SUDI%20report%20for%20web.pdf (accessed 7 Dec 2004).
Unexplained child death protocol. www.sussex.police.uk/foi/downloads/557_appendixH.doc (accessed 25 Oct 2004).
Sadler DW. The value of a thorough protocol in the investigation of sudden infant deaths. J. Clin Pathol 1998;51: 689-94.
((Anne Livesey, consultant community paedi)
Introduction
The implementation of a multiagency protocol for managing sudden and unexpected deaths in childhood had serious deficiencies. These may have arisen from a lack of overall leadership and responsibility, failure to anticipate its implications, and non-compliance by some individuals. This occurred even though it had been drawn up in consultation with all the relevant disciplines
What is already known on this topic
A uniform system for the care and investigation of sudden unexpected death in infancy is recommended in a national protocol
What this study adds
Implementation of this multiagency protocol had serious deficiencies; strong and clear lines of responsibility within and between the agencies are needed and was approved by coroners, area child protection committees, and senior managers.
Although numbers were small, reflecting the rarity of these deaths, and though responses were incomplete, more than half the parents and professionals contacted responded, and coroners provided access to all relevant data. Parents provided valuable feedback on local practice; this will be useful in future evaluations.
Effective implementation of a national protocol will need strong lines of intra-agency and interagency accountability and may need statutory backing.
This article was posted on bmj.com on 13 December 2004: http://bmj.com/cgi/doi/10.1136/bmj.38323.652523.F7
Editorial by Platt
I thank parents in Sussex, the Sussex Coroners, Edmund Hick (Sussex Police), Eleanor Ennis and Chris Bacon (Foundation for the Study of Infant Deaths), and Rachel Taylor and Ann Skinner.
Contributors: Eleanor Ennis interviewed some of the parents. AL is the sole author.
Funding: Foundation for the Study of Infant Deaths.
Competing interests: None declared.
Ethical approval: Given by all local research ethics committees.
References
Royal College of Pathologists and Royal College of Paediatrics and Child Health. Sudden unexpected death in infancy. London: RCP and RCPCH, 2004. www.rcpath.org/resources/pdf/SUDI%20report%20for%20web.pdf (accessed 7 Dec 2004).
Unexplained child death protocol. www.sussex.police.uk/foi/downloads/557_appendixH.doc (accessed 25 Oct 2004).
Sadler DW. The value of a thorough protocol in the investigation of sudden infant deaths. J. Clin Pathol 1998;51: 689-94.
((Anne Livesey, consultant community paedi)