Fatality review teams that consistently achieve results share several characteristics that foster accountability and drive implementation.

The goal of the toolkit is to provide the reader with the needed information to build a successful OFR process with a strong foundation in coalition, data collection, and prevention. The toolkit content draws on other fatality reviews and the authors’ practice-based knowledge.

The Cuyahoga County Medical Examiner's Office (CCMEO) co-leads the county OFR with Cuyahoga County Board of Health (CCBH) and has an in-house toxicology laboratory, forensic epidemiologists, and data dashboards.