Unexplained Deaths in a Children's Hospital: An Epidemiologic Assessment

During a nine-month period, July 1980 through March 1981, the mortality rate for patients on the cardiology ward of a children's hospital was 43.1 deaths per 10,000 patient-days, as compared with 11.0 deaths per 10,000 patient-days during the preceding 54 months. Twenty-five (76 per cent) of 33...

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Veröffentlicht in:	The New England journal of medicine 1985-07, Vol.313 (4), p.211-216
Hauptverfasser:	Buehler, James W, Smith, Lesbia F, Wallace, Evelyn M, Heath, Clark W, Kusiak, Robert, Herndon, Joy L
Format:	Artikel
Sprache:	eng
Schlagworte:	Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Cardiology Children Children & youth Clinical death. Palliative care. Organ gift and preservation Confidence intervals Coronary artery disease Criminal investigations Digoxin Digoxin - poisoning Disease control Drug dosages Drug overdose Epidemics Epidemiologic Methods Epidemiology Forensic Medicine Forensic science Heart diseases Heart Diseases - mortality Hospital Bed Capacity, 500 and over Hospital Units - standards Hospitals Hospitals, Pediatric - standards Hospitals, Special - standards Humans Infant Infant, Newborn Intensive care Intensive Care Units, Neonatal - standards Intravenous administration Medical errors Medical sciences Medication Errors Mortality Nurses Nursing Ontario Overdose Pediatrics Peer Review Personnel Staffing and Scheduling Risk Space-Time Clustering Teams Time Toxicity
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Zusammenfassung:	During a nine-month period, July 1980 through March 1981, the mortality rate for patients on the cardiology ward of a children's hospital was 43.1 deaths per 10,000 patient-days, as compared with 11.0 deaths per 10,000 patient-days during the preceding 54 months. Twenty-five (76 per cent) of 33 infant deaths during this nine-month period occurred between midnight and 6:00 a.m., as compared with 1 of 10 infant deaths during a separate 27-month period (P
ISSN:	0028-4793 1533-4406
DOI:	10.1056/NEJM198507253130402