Seventy-three children age: 9. Data from 66 probands were available for further analysis. Probands received hippotherapy once to twice weekly during a period of 16 to 20 weeks mean: 17 treatments in a crossover approach. Our data are in line with previous reports and suggest that hippotherapy shows distinct therapeutic strengths with regard to promoting upright stand and gait in children with cerebral palsy. Children with higher psychosocial burden of disease may need special support to get access to and benefit from intensified physiotherapy programs. Disclosure The authors report no conflicts of interest in this work.
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In the QPQC steering committee was established. QPQC Steering committee members. The IMSC has a statewide research function that aims to generate high quality research evidence regarding the causes and contributory factors for infant mortality in Queensland and the translation of research results into clinical practice. Most of these infants have prenatal and post-natal risk factors, which if modified, may have prevented the death from occurring.
Furthermore, post-neonatal mortality is an important measure of the effectiveness and availability of health services for mothers and children.
Accordingly, a key priority area is the analysis of infant deaths. The Clinical Incident subcommittee previously the RCA subcommittee was established in March with responsibility for analysing themes and recommendations identified in Root Cause Analyses RCAs and other reviews conducted in response to serious clinical incidents in Queensland Health facilities involving children and young people aged less than 18 years.
Clinical incidents are events or circumstances which have or potentially could lead to unintended harm to a patient. A clinical incident does not always mean an error has been made. A SAC1 classification indicates that death or permanent harm to a patient has occurred, which was not reasonably expected as an outcome of health care. An RCA is a quality improvement technique, usually conducted by the facility where the event occurred, that explores the contributory factors and makes recommendations for safety improvement.
By using multi-incident analysis methodology and grouping analyses of events with similar themes, important preventive messages have been identified and shared statewide. Other aspects of the analyses have been to review the quality of paediatric RCAs and other clinical incident reviews, with a focus on identifying opportunities for improvement, for example in the strength of recommendations made by the CISC panel.
CISC membership. Newsletter - Paediatric Matters. Infant Mortality subcommittee. Queensland Paediatric Quality Council, September Clinical Incident subcommittee.
Queensland Paediatric Quality Council, July Oral Presentation. McEniery, J and Cruice, D. McEniery J and Cruice D. The Voice of the Infant. Cause of death coding does not always reflect what really mattered in the life of the infant who died suddenly and unexpectedly.
Hamilton, M. J Paediatr Child Health, Multi-incident analysis of testicular torsion clinical incidents in Queensland — Testicular Torsion fact sheet. Terms of reference. Clinical Excellence Division Queensland Health.
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