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The 2016 Presidential Commission to Eliminate Child Abuse and Neglect Fatalities identified systematic review of all cases of near-fatal child maltreatment as a necessary step towards prevention of child maltreatment fatalities. A critical barrier to adoption of this recommendation is the lack of a standard definition of "near-fatality" in the context of suspected child maltreatment. To develop a consensus definition of near-fatal child maltreatment to be used in practice, policy, and research. A multidisciplinary expert panel of 23 indi