scholarly journals Detecçção de eventos adversos de eventos adversos relacionados a medicamentos por meio das ferramentas Global Trigger Tool e Medication Safety Thermometer: uma revisão narrativa

2021 ◽  
Author(s):  
Priscila Bernardi Garzella ◽  
Denise Bueno ◽  
Isabela Heineck
Keyword(s):  
Medication Safety ◽  
Trigger Tool ◽  
Global Trigger Tool

scholarly journals Global Trigger Tool methodology to detect adverse events: pilot study at Academic Hospital of Udine

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Scarpis ◽  
S Degan ◽  
D De Corti ◽  
F Mellace ◽  
R Cocconi ◽  
...  
Keyword(s):  
Patient Safety ◽  
Adverse Events ◽  
Academic Hospital ◽  
Trigger Tool ◽  
Hospital Acquired Infections ◽  
Frequent Type ◽  
Global Trigger Tool ◽  
Clinical Records ◽  
Hospital Acquired ◽  
Over Time

Abstract Introduction Identification and measurement of adverse events (AEs) is crucial for patient safety in order to monitor them over time and to implement quality improvement programs, testing if they are effective. Global Trigger Tool (GTT) has been proposed as a low-cost method, being also the most effective to detect AEs. This study aims to describe the number of triggers, the rate and level of AEs identified by GTT and the most frequent type of AE. Methods The Italian version of the GTT was used. Ten paper-based clinical records (CRs) randomly selected every 2 weeks were reviewed from January to April 2019 by three independent reviewers (two nurses, one doctor) at the Academic Hospital of Udine. The AEs rates calculated are: AEs per 1,000 patient-days, AEs per 100 admissions, percentage of admissions with an AE. AEs were classified by harm levels according to National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP). Results CRs reviewed were 80. Mean age of the patients was 69.3±16.4, women were 37.5%. Mean hospitalisation was 16.8±15.3. Nine were the cases of re-hospitalisation within 30 days (11.3%). The total number of trigger was 156. AEs were 31, with at least one AE on 27.5% of admissions, 38.8 AEs per 100 admissions and 23 AEs per 1,000 patient-days. AEs with harm level E, F and H were respectively 5 (16.1%), 24 (77.4%) and 2 (6.5%). The most frequent type of AE were hospital acquired infections with 15 cases (48.4%). Conclusions The most frequent type of AE was the hospital acquired infections. Rates and levels of AEs were higher than other international studies, probably because of the limited number of CRs reviewed. Key messages Global Trigger Tool is an effective method to detect adverse patient safety events in order to monitor them over time. The most frequent type of adverse events was the hospital acquired infections.

scholarly journals Adverse events in orthopedic care identified via the Global Trigger Tool in Sweden – implications on preventable prolonged hospitalizations

2016 ◽  
Vol 10 (1) ◽  
Author(s):  
Hans Rutberg ◽  
Madeleine Borgstedt-Risberg ◽  
Pelle Gustafson ◽  
Maria Unbeck
Keyword(s):  
Adverse Events ◽  
Trigger Tool ◽  
Orthopedic Care ◽  
Global Trigger Tool

Measuring harm levels with the Global Trigger Tool

Clinical Risk ◽  
2010 ◽  
Vol 16 (4) ◽  
pp. 122-126 ◽  
Author(s):  
Michael Carter
Keyword(s):  
National Health Service ◽  
Health Service ◽  
General Hospital ◽  
National Health ◽  
District General Hospital ◽  
Trigger Tool ◽  
Hospital Governance ◽  
Global Trigger Tool

Over five years, the Global Trigger Tool (GTT) has been used to measure harm events on random case-notes at the Luton & Dunstable Hospital. The GTT has been adapted to a District General Hospital governance setting within the National Health Service. Overall, serious harm levels have diminished, though increased instances of more minor harm indicate that further improvements need to be made.

Adverse events identified by the global trigger tool at a university hospital: A retrospective medical record review

2018 ◽  
Vol 12 (2) ◽  
pp. 91-97 ◽  
Author(s):  
Qiaozhi Hu ◽  
Bin Wu ◽  
Mei Zhan ◽  
Weiguo Jia ◽  
Yimei Huang ◽  
...  
Keyword(s):  
Adverse Events ◽  
Medical Record ◽  
Medical Record Review ◽  
University Hospital ◽  
Trigger Tool ◽  
Global Trigger Tool ◽  
Record Review ◽  
Retrospective Medical Record Review

scholarly journals Keselamatan pasien dan mutu pelayanan kesehatan

2019 ◽  
Author(s):  
Fingki handayani
Keyword(s):  
Adverse Events ◽  
Trigger Tool ◽  
Do No Harm ◽  
Global Trigger Tool

Keselamatan pasien dan mutu pelayanan kesehatan yang tinggi adalah tujuan akhir yang selalu diharapkan oleh rumah sakit, manajer, tim penyedia pelayanan kesehatan, pihak jaminan kesehatan, serta pasien, keluarga dan masyarakat. Namun demikian, prinsip “First, do no harm” tidak cukup kuat untuk mencegah berkembangnya masalah keselamatan pasien. Hal ini tercermin dari tingkat dan skala masalah keselamatan pasien sejak terbitnya publikasi “To Err is Human” pada tahun 2000.1 Hingga studi-studi terkini. Di Amerika, hasil studi keselamatan pasien pada akhir tahun 1990-an menemukan angka 3,9% dan 2,7% angka kejadian yang tidak diinginkan (KTD) pada pasien rawat inap.2,3 Dua puluh tahun kemudian, pengukuran dengan Global Trigger Tool menunjukkan bahwa KTD meningkat 10 kali lipat (menjadi 32%).4 Di Indonesia, isu keselamatan pasien mulai dibahas pada tahun 2000, diikuti dengan studi pertama di 15 rumah sakit dengan 4500 rekam medik. Hasilnya menunjukkan bahwa angka KTD sangat bervariasi, yaitu 8,0%-98,2% untuk kesalahan diagnosis dan 4,1%-91,6% untuk kesalahan pengobatan.5 Sejak itu, bukti-bukti tentang keselamatan pasien di Indonesia pun merebak, meskipun belum ada studi nasional hingga saat ini. Kita patut merasa iri dengan negara-negara di Amerika Latin yang telah mempunyai studi Iberoamerican study of adverse events (IBEAS) di 58 rumah sakit dari 5 negara.

scholarly journals Establishment of a pediatric trigger tool based on Global Trigger Tool to identify adverse drug events of children: experience in a Chinese hospital

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Yi Liu ◽  
Junfeng Yan ◽  
Yunfei Xie ◽  
Yuan Bian
Keyword(s):  
Cohort Study ◽  
Retrospective Review ◽  
Retrospective Cohort ◽  
Literature Search ◽  
Adverse Drug Events ◽  
Trigger Tool ◽  
Trigger Rate ◽  
Global Trigger Tool ◽  
Pediatric Inpatient ◽  
Grade 3

Abstract Background The Global Trigger Tool (GTT),which is a method using “triggers” to review medical record retrospectively to identify possible adverse events. Several studies showed that the GTT was effective. However, there were only a few localized trigger tools that had been established to detect pediatric adverse drug events (ADEs) in China. This study aimed to establish a pediatric trigger tool based on GTT, to examine the performance by detecting pediatric inpatients ADEs in a Chinese hospital (a retrospective review), and to investigate the factors associating with the occurrence of ADEs. Methods The triggers were established by three steps including literature search, triggers extraction and revision, and experts investigation. A retrospective cohort study was conducted to detect ADEs by using 200 pediatric inpatient records of Sichuan Provincial People’s Hospital. Results Thirty-three preliminary triggers were established, and 2 rounds of experts investigation were conducted. Finally, 33 triggers were established. In the retrospective review, the positive trigger rate was 64.0%, while the positive predictive value (PPV) was 24.9%. The occurrence of inpatients with ADEs was 20.5%. ADEs/100 admissions were 49.0. ADEs/1000 patient days were 46.89. The most common ADE categories were leukocyte disorders, skin disorders and platelet disorders. The severity of 39 ADEs was grade 1, 55 ADEs was grade 2, 4 ADEs was grade 3. The highest frequency of ADE-related drugs was antineoplastic, followed by antibacterial. The length of stay and the leukemia in the diagnosed diseases were positively correlated with ADEs. Conclusions The 33 pediatric triggers may detect ADEs effectively, but still need to be optimized. This study may provide some references for further research in order to improve the rationality and safety of medication.

Patient-specific risk factors of adverse drug events in adult inpatients - evidence detected using the Global Trigger Tool method

2014 ◽  
Vol 24 (3-4) ◽  
pp. 582-591 ◽  
Author(s):  
Marja Härkänen ◽  
Marjo Kervinen ◽  
Jouni Ahonen ◽  
Ari Voutilainen ◽  
Hannele Turunen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Adverse Drug Events ◽  
Patient Specific ◽  
Trigger Tool ◽  
Specific Risk ◽  
Global Trigger Tool

Global Trigger Tool

2008 ◽  
Vol 4 (4) ◽  
pp. 245-249 ◽  
Author(s):  
Lee Adler ◽  
Charles R. Denham ◽  
Marjorie McKeever ◽  
Robert Purinton ◽  
Franck Guilloteau ◽  
...  
Keyword(s):  
Trigger Tool ◽  
Global Trigger Tool

scholarly journals ISQUA16-1575AUTOMATED IDENTIFICATION OF TRIGGERS FROM THE GLOBAL TRIGGER TOOL IN ELECTRONIC HEALTH RECORDS

2016 ◽  
Vol 28 (suppl 1) ◽  
pp. 32.1-32
Author(s):  
K. Mevik ◽  
T. E. Hansen ◽  
A. Ringdal ◽  
B. Vonen
Keyword(s):  
Electronic Health Records ◽  
Health Records ◽  
Trigger Tool ◽  
Global Trigger Tool ◽  
Electronic Health
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