This study focused on the content of 1186 Child Fatality Review Board individual case reports collected nationally over a 24-year period (1995–2019). This information, in contrast to group data, may yield important insights into the causative factors, especially for child fatality resulting from neglect and inflicted injury. The reports were collected from six of the 50 states and evaluated for the quality and amount of information. They were also surveyed for data identifying causative factors for neglect and inflicted injury. Only 25 (2 per cent) of 1186 reports that are publicly available contained sufficient information about the four major causative factors—cause of death, prior child protection agency involvement by the family, evidence of professional negligence or error and family history of at-risk circumstances. The 25 cases were then reviewed and coded for presence of information about these factors. The findings demonstrate the need for federal intervention to provide specific guidelines for the states to track their cases, to use a common nomenclature, to investigate common causative factors and to practice common reporting procedures. In this way, a robust national database can be developed.

中文翻译：

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儿童死亡个案报告：24 年国家逐州审查

本研究重点关注 24 年期间（1995 年至 2019 年）全国收集的 1186 份儿童死亡审查委员会个案报告的内容。与群体数据相比，这些信息可能会产生对致病因素的重要见解，特别是对于因忽视和造成伤害而导致的儿童死亡。这些报告是从 50 个州中的 6 个州收集的，并评估了信息的质量和数量。他们还接受了调查，以获取确定忽视和造成伤害的致病因素的数据。在公开的 1186 份报告中，只有 25 份（2%）包含有关四个主要致病因素的充分信息：死亡原因、家庭之前参与儿童保护机构、专业疏忽或错误的证据以及高危家族史情况。然后对 25 个案例进行审查和编码，以了解有关这些因素的信息。研究结果表明，联邦干预需要为各州提供具体指导方针，以追踪案件、使用通用术语、调查常见致病因素并实施通用报告程序。通过这种方式，可以开发一个强大的国家数据库。