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Recurrent themes from paediatric mortality and morbidity: a network perspective 2021–2023
  1. Patrick Aldridge1,
  2. Andrew James Baldock2,
  3. Jim Baird3,
  4. Alex Elson4,5,
  5. Sarah McGregor4,5
  6. Thames Valley & Wessex Operational Delivery Network Paediatric Critical Care Governance Group
  1. 1 Frimley Park Hospital, Frimley Health NHS Foundation Trust, Frimley, UK
  2. 2 Child Health, University Hospital Southampton, Southampton, UK
  3. 3 Paediatrics, Salisbury NHS Foundation Trust, Salisbury, UK
  4. 4 Thames Valley & Wessex Operational Delivery Network, Oxford, UK
  5. 5 Oxford University Hospitals NHS Foundation Trust, Oxford, UK
  1. Correspondence to Dr Patrick Aldridge, Frimley Park Hospital, Frimley Health NHS Foundation Trust, Frimley, UK; patrickjaldridge{at}hotmail.com

https://doi.org/10.1136/archdischild-2023-326633

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    We write to raise awareness of common themes from paediatric death/incidents of harm from a network perspective. The governance group within Thames Valley & Wessex Paediatric Critical Care Operational Delivery Network formed in 2017. Our multidisciplinary body (paediatricians, trainees, paediatric intensivists and paediatric nurses) provides external support to paediatric serious incident investigations at network NHS trusts. We compose anonymised, one-page learning summaries approved at Trust level and shared to disseminate learning.

    Persistent tachycardia (PT) was the most common theme (60%) identified (figure 1). We believe PT is an under acknowledged sign within healthcare with limited studies to date and no formally accepted definition. In one study,1 8% of children were discharged tachycardic with an increased risk of hospital reattendance and intervention. A more recent study2 suggests PT ‘…is not associated with an increased …

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    Footnotes

    • Collaborators Thames Valley & Wessex Operational Delivery Network Paediatric Critical Care Governance group: Jenny Bull, Michael Griksaitis, Gareth Jones, Amy Withers (University Hospital Southampton NHS Foundation Trust); Johanna Aspel (Wexham Park Hospital, Frimley Health NHS Foundation Trust); Hannah Howell (Dorset County Hospital NHS Foundation Trust); Janine Hemming, Binita Shah (University Hospitals Sussex NHS Foundation Trust); Karen Fernley, James Keegan (University Hospitals Dorset NHS Foundation Trust); Peter DeHalpert, Laura Hodgson (Royal Berkshire NHS Foundation Trust); Sara-Louise Hume, Deirdre O’Shea,Tara Parker, James Weitz (Oxford University Hospital NHS Foundation Trust); Wassim Shamsuddin (Milton Keynes University Hospital NHS Foundation Trust); Louise Pitman (Salisbury NHS Foundation Trust).

    • Contributors PA and AJB confirm responsibility for study conception/design, data collection, data analysis/interpretation and manuscript preparation. JB, AE and SMG confirm responsibility for data collection, data analysis/interpretation and manuscript preparation.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer-reviewed.