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					                                  Child Healthcare Problem Identification Programme




                  M ORTALITY R EVIEW M EETING P ROFORM A

Chairperson:                                                Minutes:



Agenda

1) WELCOME


2) TASK REVIEW


3) LAST MONTH’S STATISTICS


4) THIS MONTH’S STATISTICS


5) CASE PRESENTATION
           1. Summary (Presenter)

           2. Causes of death (Group discussion)

                 Main

   Other Diagnoses
           Underlying
            condition

           3. Modifiable Factors (Group discussion)


                      Caregiver                        Administrator                  Clinical Personnel



  Home




  Clinic




Hospital
          4. Was the death avoidable?

                  Yes             Not sure       No         Unknown


6) FEELINGS


7) TASK IDENTIFICATION AND ASSIGNMENT

                     Task                        By whom?         By when?




8) CLOSURE AND DATE OF NEXT MEETING




Document type                                2                        Version 2005-01

				
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Lingjuan Ma Lingjuan Ma MS
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