Reporting | Data should be aggregated and trended across all departments |
Scope | Process must cover all deaths |
Source | Front-line clinician input can provide more information than a centralised process (3rd party clinician review): must eventually include entire care team (eg, attendings, residents, nurses) |
Speed | Review must be quick and efficient (many deaths not preventable) |
Timing | Reviews should be completed within 48–72 h after the death (allow completion from memory without additional chart review) |
Additional review | Some cases may require further inquiry or may need to be reviewed by other departments |