Abstract

This article examines the substance and recommendations of the Laming Report into the death of Victoria Climbié. It discusses the implications from a risk‐management perspective, for clinical and non‐clinical professionals involved in child healthcare. It examines relevant recent literature, concerning general principles in adverse clinical outcomes, and discusses the specific advice of the Laming Report. It focuses on information handling, active and latent failures and record keeping. It aims to provide a framework in which to consider change in paediatric healthcare and system management, in order to decrease the risk of adverse outcomes of the type experienced in the case of Victoria Climbié.

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