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CHILD DEATH REVIEW DATA COLLECTION FORM Check case category ? Death of a child within the State scope and a resident of this team s jurisdiction (Entire form required by State) ? Death of a child
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How to fill out child death review data

How to Fill Out Child Death Review Data:
01
Collect all necessary information regarding the child's death, including their age, cause of death, and any relevant medical history.
02
Complete the demographic section of the child death review form, providing the child's name, date of birth, gender, and other identifying information.
03
Record the date and location of the child's death, along with any pertinent details about the circumstances surrounding their passing.
04
Include information about the child's family, such as their parents' names, contact information, and any siblings or other household members.
05
Document the child's medical history, including any known illnesses, medications, or previous hospitalizations.
06
Provide a thorough description of the events leading up to the child's death, including any known interventions or treatments attempted.
07
Describe the post-mortem examination, if applicable, including any autopsy findings or other forensic details.
08
Assess the potential contributing factors to the child's death, such as neglect, abuse, or environmental hazards.
09
Identify any agency involvement or previous reports made concerning the child's well-being.
10
Review the collected data to ensure accuracy and completeness before submitting the child death review form.
Who Needs Child Death Review Data:
01
Child protection agencies and social services utilize child death review data to identify trends and patterns in child mortality, informing policy decisions and prevention strategies.
02
Medical professionals and researchers may analyze child death review data to better understand the factors contributing to child mortality and improve medical practices.
03
Legal professionals, including law enforcement and attorneys, may rely on child death review data in cases involving child abuse, neglect, or criminal investigations.
04
Families and advocacy groups may request access to child death review data to gain insight into their loved one's death and advocate for necessary changes or support services.
05
Government agencies, such as public health departments, use child death review data to monitor public health trends and implement prevention initiatives.
Overall, filling out child death review data includes gathering comprehensive information about the child's death and relevant details, while the data is utilized by various stakeholders for research, policy-making, legal purposes, family support, and public health monitoring.
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What is child death review data?
Child death review data refers to information collected and analyzed regarding the deaths of children in order to identify trends, risk factors, and potential prevention strategies.
Who is required to file child death review data?
The entities or organizations responsible for conducting child death reviews are typically required to file the child death review data. It could be medical examiners, coroners, child protective services, or other designated agencies.
How to fill out child death review data?
Filling out child death review data typically involves completing a standardized form or template provided by the governing authority. This form may require information about the child's demographics, cause of death, circumstances surrounding the death, and any relevant investigations or interventions.
What is the purpose of child death review data?
The purpose of child death review data is to identify patterns, trends, and factors contributing to child deaths in order to improve child safety, inform policy and prevention strategies, and reduce preventable deaths.
What information must be reported on child death review data?
The information reported on child death review data may include the child's age, gender, race/ethnicity, cause of death, date of death, circumstances leading to the death, previous involvement with child protective services, and any contributory factors identified during the review process.
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