Table 2

​Outcomes for child

OutcomesN
Clearly stated harm to child 89
 Emergency or unplanned tracheostomy change37
 Child severely distressed or in pain16
 Hospital admission or ambulance called10
 Skin damage8
 Distress to parents6
 Child desaturating4
 Other4
 Child may be moribund2
 CPR required2
Potential for harm (or harm not stated) 131