Confidential paediatric inquiry into neonatal deaths in Wessex, 1981 and 1982.

Wood, Betsy; Catford, John; Cogswell, J J

doi:10.1136/bmj.288.6425.1206

Cited by 14 publications

(10 citation statements)

References 6 publications

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“…Although data are generally presented as numerical summaries, occasionally vignettes of individual cases may be presented 155 or more depth insights will be alluded to within published papers. 150,154 There is some potential for confidential enquiries to incorporate both clinical and organisational issues in a systematic way, although there is little sign of this to date. All said and done, confidential inquiries have been an important source of knowledge about clinical incidents in the UK and it is likely that even in their current form they have been a factor in changing practice for the better.…”

Section: Appendixmentioning

confidence: 99%

“…The majority of publications are derived from confidential enquiries into maternal, perinatal or postoperative deaths 131,132,154 but there are also a number of examples of the same approach being applied to other problems, typically by an expert or speciality group reviewing deaths from a particular cause within their geographical locality. Payne and colleagues, 151 for example, reported the results of a confidential enquiry into stroke deaths in a single locality and Burr and colleagues 133 reported the results of a confidential enquiry into asthma deaths in Wales.…”

Section: Applications In Healthcarementioning

confidence: 99%

See 1 more Smart Citation

The investigation and analysis of critical incidents and adverse events in healthcare

Woloshynowych

Rogers²,

Taylor‐Adams³

et al. 2005

Health Technol Assess

118

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Section: Appendixmentioning

confidence: 99%

Section: Applications In Healthcarementioning

confidence: 99%

The investigation and analysis of critical incidents and adverse events in healthcare

Woloshynowych

Rogers²,

Taylor‐Adams³

et al. 2005

Health Technol Assess

118

View full text Add to dashboard Cite

show abstract

“…Wood et al (1984) have recently argued that 'better provision and training of district staff in immediate care at birth would probably be of more benefit in Wessex than the setting u p of a regional neonatal unit specialising in advanced neonatal intensive care.' One is to increase staffing and facilities at a district level.…”

Section: Discussionmentioning

confidence: 99%

Outcome of neonatal intensive care: obstetric implications for a regional service

Watkinson¹,

McIntosh²

1986

BJOG

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Summary. Data from 634 newborn babies with birthweights ≤2000 g admitted to the South West Thames Regional Neonatal Unit in St George's Hospital since its opening in 1980 were analysed. Only 271 (43%) of the pregnancies were booked there; 200 (32%) of the babies were transferred in utero and 162 (26%) after delivery. Weight‐specific neonatal survival rates, calculated after exclusion of lethal abnormalities showed that between 1001 and 1500 g, 79 (96%) of the 82 babies transferred in utero survived in 1981–1984, compared with only 57 (79%) of the 72 postnatal transfers (P<0·02). Under 1000 g, no such differences were found, possibly because paediatricians transferred only the fitter babies in this weight range. The birth of very‐low‐birthweight babies of short gestation in units unable to provide immediate resuscitation, adequate stabilization and full neonatal intensive care is a major risk factor for increased neonatal mortality. These findings support the role of regional perinatal centres as service units for antenatal transfer and neonatal intensive care, and as teaching centres.

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“…This type of study (so called 'in-depth' or 'audit' study), aims to identify deficiencies in medical care that may have contributed to death. It was first systematically carried out on maternal death, and later on other causes of avoidable death [1-4]. This method can be applied to other potentially avoidable conditions, e.g.…”

Section: Introductionmentioning

confidence: 99%

The role of 'confounding by indication' in assessing the effect of quality of care on disease outcomes in general practice: results of a case-control study

Koning

Klazinga

Koudstaal

et al. 2005

BMC Health Serv Res

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Background: In quality of care research, limited information is found on the relationship between quality of care and disease outcomes. This case-control study was conducted with the aim to assess the effect of guideline adherence for stroke prevention on the occurrence of stroke in general practice. We report on the problems related to a variant of confounding by indication, that may be common in quality of care studies.

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Confidential paediatric inquiry into neonatal deaths in Wessex, 1981 and 1982.

Abstract: From

Cited by 14 publications

References 6 publications

The investigation and analysis of critical incidents and adverse events in healthcare

The investigation and analysis of critical incidents and adverse events in healthcare

Outcome of neonatal intensive care: obstetric implications for a regional service

The role of 'confounding by indication' in assessing the effect of quality of care on disease outcomes in general practice: results of a case-control study

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