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Improve medical training and safety culture for better paediatric care

BMJ 2006; 333 doi: (Published 02 November 2006) Cite this as: BMJ 2006;333:938
  1. Lisa Hitchen
  1. London

    Substandard management is responsible for 40% of deaths in infants and disability caused by asphyxia at birth, clinicians heard at a paediatric conference this week.

    Umesh Prabhu, a consultant paediatrician and medical director of Bury NHS Trust, told delegates at a meeting on clinical risk management that 140 out of 350 incidents in the United Kingdom in which babies died or were disabled after brain damage could have been avoided.

    “If every trust concentrated on those babies and what can go wrong I think we could do a lot for them, and it would save the NHS £200m [$380m; €300m] a year,” he said.

    Dr Prabhu implemented a clinical risk management approach at his own trust four years ago. As a result, he noted, Bury has not seen any preventable paediatric deaths. …

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