Conducting Effective Review Meetings

There are different approaches used by teams around the country to conduct fetal and infant death reviews. But there are certain basic steps that if followed, will help lead to complete and thorough reviews that address the systems and services issues involved in fetal and infant deaths:
At the review

  1. De-identified case summaries are reviewed, including information from the medical records and the maternal interview
  2. Teams identify sentinel events, trends over time, and incidental findings
  3. Discussion of factors that were present and could have contributed to the death
  4. Discuss service delivery, any barriers or gaps in care
  5. Make recommendation for systems improvements and improved resources
  6. Convey recommendation to the Community Action Team (CAT)