Despite pronounced reductions in child mortality in industrialised countries, variations exist within and between countries. Many child deaths are preventable, and much could be done to further reduce mortality. For the family, their community, and professionals caring for them, every child's death is a tragedy. Systematic review of all child deaths is grounded in respect for the rights of children and their families, and aimed towards the prevention of future child deaths. In a Series of three papers, we discuss child death in high-income countries in the context of evolving child death review processes. This paper outlines the background to and development of child death review in the USA, England, Australia, and New Zealand. We consider the purpose, process, and outputs of child death review, and discuss how these factors can contribute to a greater understanding of children's deaths and to knowledge for the prevention of future child deaths.
Key messages• Child mortality rates in high-income countries are low compared with the rest of the world. However, international mortality rates vary substantially for different age groups, and modifiable factors can be identified in many deaths • Although high-income countries have reliable death registration processes, concerns exist about the accuracy of cause of death data and the ability of such processes to inform health strategy to prevent future child deaths • Processes for child death review have been developed in several countries to systematically gather comprehensive data for children's deaths, to identify potentially remediable factors, and to make recommendations for system improvement Search strategy and selection criteria We searched Medline for papers published in English from Jan 1, 1990, to Dec 5, 2012, using the following terms: (death* review*.mp or fatalit* review*.mp or perinatal mortalit* review*.mp or serious case* review*.mp or critical incident* review*.mp), limited to all child (0-18 years). We reviewed the titles and abstracts of 122 papers. We then retrieved the full text of 31 papers relevant to internally reported processes for child death review. Alongside this process, we searched LexisNexis with the terms "child mortality review", "child death review", "child welfare case 3 reviews", "infant mortality review", "fetal and infant mortality review", "multidisciplinary child death reviews", and "safeguarding children panels". We retrieved relevant full texts on the basis of abstract review. We excluded state-level government reports from the USA. The combined searches provided an annotated bibliography of 81 papers about processes for child death review (appendix).