Stakeholders’ opinions on the implementation of Child Death Review in the NetherlandsReport as inadecuate

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BMC Research Notes

, 9:228



BackgroundThe death of a child is an enormous tragedy for both the family and others involved. A child’s death appeals to everyone’s responsibility to take measures to prevent similar deaths in the future. Child Death Review CDR is an interagency approach in which a child’s death is systematically analyzed by a multidisciplinary team. The aim of CDR is to identify avoidable factors that give direction to prevention and to improve death statistics. CDR is not yet implemented in the Netherlands. The purpose of this study is to determine Dutch stakeholders’ opinions regarding the facilitating and impeding factors in the implementation of CDR in the Netherlands.

MethodsFour focus groups were conducted: three with professionals who are involved in children’s deaths and one with parents who have lost a child under the age of 2 years. The recorded discussions were transcribed and analyzed using Atlas ti. The facilitating and impeding factors were measured using the measurement instrument for determinants of innovations MIDI. The MIDI identifies facilitating and impeding determinants associated with the innovation, user, organization and social-political context.

ResultsImprovement of the quality of health care and obtaining a clear explanation for the child’s death user and innovation were identified as benefits of CDR. The emotional burden for professionals and parents and the time implications were considered to be drawbacks of CDR user and innovation. The multidisciplinary approach innovation, parental consent and the use of anonimyzed data user were considered as facilitators to implementation. Insufficient information innovation, potential legal consequences for professionals and organizations user, insufficient ratification by organizations organization and confidentiality social-political context were identified as impeding implementation.

ConclusionsThe determinants identified as facilitating and the recommendations provided to overcome the barriers can be used as input for the strategy for implementation of CDR. A pilot study is necessary to determine to what extent the chosen implementation strategy is effective.

KeywordsImplementation Child mortality Child Death Review Prevention Electronic supplementary materialThe online version of this article doi:10.1186-s13104-016-1966-x contains supplementary material, which is available to authorized users.

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Author: Sandra Gijzen - Monique P. L’Hoir - Magda M. Boere-Boonekamp - Ariana Need


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