Table 4.
Extent to which procedures of Dutch organizations covered the CDR objective ‘Identify avoidable factors that give directions for prevention’ (yes = +; to a limited extent = ±; no = −)
| Organization/professional | Title of document available for analysis | RR2.1 | RR2.2 | CDO2.1 | CDO2.2 | CDO2.3 | CDO2.4 |
|---|---|---|---|---|---|---|---|
| Department of Pediatrics and GP | Dutch Association for Pediatrics-Action protocol after cot death | − | + | + | − | + | − |
| Death of a Child | − | − | − | − | − | − | |
| Emergency Baptism | − | − | − | − | − | − | |
| Deceasing or Dying | − | − | − | − | − | − | |
| Procedures in External Cause of Death | − | − | − | − | − | − | |
| Forensic Medical Service | Work Instruction ‘Reporting Deceased Minors’ | − | − | − | − | − | − |
| Guideline Forensic Postmortem Examination | ± | − | − | − | − | − | |
| Ambulance Service | National Protocol Ambulance Care | − | − | − | − | − | − |
| Preventive Child Healthcare/Municipal Health Services | Guideline Counseling Families in Child Death | − | − | − | − | − | − |
| Protocol Large-scale Sexual Abuse | ± | − | − | − | − | − | |
| Hospital Social worker | Interview report | − | − | − | − | ± | − |
| Mental health trust | Suicide and External Cause of Death | − | − | ± | − | − | − |
| External Cause of Death inside of the Clinic | − | − | − | − | − | − | |
| External Cause of Death outside of the Clinic | − | − | − | − | − | − | |
| External Cause of Death in Ambulatory Patient Outside of the Clinic | − | − | − | − | − | − | |
| MEE | Interview report | − | − | − | − | − | − |
| Child Welfare Agency | Guidelines Death of a Juvenile Client | − | − | − | − | − | − |
| Child Protection Service | Interview report | + | + | + | ± | + | ± |
| Police | Interview report | − | − | ± | − | − | − |
| Public Prosecutor | Interview report | ± | ± | ± | − | ± | ± |
| School/daycare/playgroup | Protocol in Case of Death | − | − | − | − | − | − |
| Perined | Perined | ± | − | + | ± | + | + |
| National Cot Death Study Group | Dutch Cot Death Foundation | ± | ± | + | − | + | + |
| Dutch Cot Death Foundation | Interview report | + | + | + | − | + | + |
| Dutch Safety First Association | Interview report | − | − | ± | − | ± | ± |
| Consumer Safety Institute | Interview report | ± | − | ± | ± | ± | ± |
| Dutch Safety Board | Interview report | + | − | ± | ± | ± | + |
| RR2.1 Relevant institutions and professionals, such as school and GP, are consulted to get more information about the child, his/her social circumstances and environment in the context of avoidable factors of child mortality | |||||||
| RR2.2 During data collection from relevant institutions and professionals, postmortem examination and investigation at the place of death and circumstances of the death, attention is paid to (new) avoidable factors of child mortality | |||||||
| CDO2.1 Avoidable factors of child mortality and lessons learned are identified | |||||||
| CDO2.2 A distinction is made in factors intrinsic to the child, family and environmental factors, parenting capacity and service provision | |||||||
| CDO2.3 Professionals involved work together with regional and national institutions to identify lessons learned | |||||||
| CDO2.4 After identifying avoidable factors of child mortality, the extent of the problem is determined and (groups of) people most affected by the problem are sorted out | |||||||