Data Collection Flow Chart Hospital Death Site Organisation

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3.3 Site Organisation

Co-investigator Paediatricians Site Coordinator SC Hospital with Paediatrician Sister in charge of PICU PHDW ; if no PICU PHDW in hospital, then Sister in charge of Paediatric medical ward Hospital without Paediatrician Sister in charge of Paediatric ward Role Responsibilities - Identify all deaths in all disciplines in hospital - Obtain case notes for Paediatrician hospital with Paediatrician and MO hospital without Paediatrician to fill in forms 83

3.4 Specific Guidelines - Definitions and Data Collection

SECTION 1: PATIENT DETAILS Item Variable Name Definition of Variable How where to capture Information from Details 1 Name Name of child who died MyKid case notes 2 MyKid Number Other ID Number MyKid no or other ID number Case notes Please use this order: i. MyKid no. passport ii. mother’s ic passport iii. father’s ic passport iv. guardian’s ic passport 3 RN No Child’s hospital registration no. Case notes 4 Residence Usual residence Case notes 5 Ethnicity Race Case notes Please use the ethnicity of: i. father, or if unavailable then ii. mother 6 Gender Case notes 7 Date of birth Case notes 8 Date and time of admission Case notes SECTION 2: PATIENT’S DEATH DETAILS Item Variable Name Definition of Variable How where to capture information from Details 9 Date and time of death Case notes 10 Place of death Case notes Tick only one PICU –Pediatric Intensive Care Unit PHDW–Pediatric High Dependancy Ward Main ICU – Main Intensive Care Unit AE – Accident Emergency Paed Medical Ward – Paediatric ward Paed Surgical Ward – please specify E.g : neurosurgical Others – please specify E.g : Operation Theatre OT 11a Hospital Treatment Highest level care received Case notes As in 10 above 84 11b Person Managing Highest level of person managing Tick only one HO – House Officer MO – Medical Officer Specialist – doctor with a post basic qualification and has been gazetted as a specialist Consultant – Specialist on Grade U54 and above 12a Symptoms of the current illness leading to death Duration Duration of symptoms of current illness before admission Case notes interview parents Case notes interview parents ‘Not applicable’ – for sudden death E.g : Motor vehicle accident or drowning If less than 1 day state number of hours 12b Treatmentss received for current illness? The place of any pre hospital treatment Case notes interview parents Treatment: does not include self- medication traditional complementary medication Government Hospital: includes army hospital, estate hospital 13 Co-morbid condition Case notes Tick one or more boxes 14 aImmediate cause of death bCondition predisposing cause of death Case notes Case notes a Enter only 1 cause. Do not enter terminal events such as cardiac arrest or respiratory arrest. Do not abbreviate E.g : Pneumonia bEnter only 1 cause on a line. Add additional lines if necessary E.g : Malnutrition Spastic quadriplegia 15 ICD classification of cause of death Case notes Tick only 1 specify. See handout 16 Is death preventable Subjective judgment based on case notes, nursing notes and other relevant information Specify details – give details on why death is considered preventable or not preventable 17 Comments Any other relevant information