What is the IHI Global Trigger Tool?

The IHI Global Trigger Tool for Measuring Adverse Events provides an easy-to-use method for accurately identifying adverse events (harm) and measuring the rate of adverse events over time. Tracking adverse events over time is a useful way to tell if changes being made are improving the safety of the care processes.

What is Global Trigger Tools?

The Global Trigger Tool (GTT) developed by the Institute for Healthcare Improvement is a method for retrospective patient record review based on the use of ‘triggers’—signals of potential adverse events that have caused patient harm.

Which IHI tool is able to detect ten times more adverse events than through a hospital’s voluntary reporting system?

IHI Global Trigger Tool
April 14, 2011 | The authors discuss a new study in Health Affairs that finds that the IHI Global Trigger Tool identified at least ten times more confirmed, serious events than other methods.

What is Trigger Tool?

Trigger tools are ways of identifying and documenting patient harm using a systematic record review process on a randomly selected set of medical records using triggers as flags for patient harm.

How do you measure adverse events?

METHODS USED TO MEASURE ERRORS AND ADVERSE EVENTS

  1. Morbidity and Mortality Conferences and Autopsy.
  2. Malpractice Claims Analysis.
  3. Error Reporting Systems.
  4. Administrative Data Analysis.
  5. Chart Review.
  6. Electronic Medical Record Review.
  7. Observation of Patient Care.
  8. Clinical Surveillance.

What is a trigger patient?

Plan: “ED Trigger Patient Response Protocol” Target: Patients that require urgent evaluation/treatment (ideally within 5 min) but currently do not require Critical Care interventions. Protocol: 1) Appropriate patient identified in triage, ED trigger patient response initiated.

What are some patient triggers?

Table 3

Triggers Description Percentage agreement (%)
Trigger 2 Hospital-incurred patient injury (temporarily or lasting) 90
Trigger 3 Adverse drug reaction 92
Trigger 4 Unplanned transfer to the ICU 93
Trigger 5 Unplanned return to the operating room 96

What is a clinical trigger?

DHMC’s clinical triggers program is a promising approach that addresses an unmet patient need. Death is the natural, albeit sad, endpoint of all lives; the overarching goal of DHMC’s clinical triggers system is to prevent the premature death of a hospitalized patient and thereby improve patient safety.

What is a second victim?

“Second victims are health care providers who are involved in an unanticipated adverse patient event, in a medical error and/or a patient related injury and become victimized in the sense that the provider is traumatized by the event.

What does the word trigger?

1a : to release or activate by means of a trigger especially : to fire by pulling a mechanical trigger trigger a rifle. b : to cause the explosion of trigger a missile with a proximity fuse. 2 : to initiate, actuate, or set off by a trigger an indiscreet remark that triggered a fight a stimulus that triggered a reflex.

Can an emergency department clinical triggers program based on abnormal vital signs improve patient outcomes?

In summary, the implementation of an ED clinical triggers program based on abnormal vital sign criteria had no measurable effect on inpatient outcomes measured by median days admitted, days in a special care unit, in-hospital death rate, or upgrade in level of care.

How does the IHI global trigger tool work?

IHI Global Trigger Tool for Measuring Adverse Events The use of “triggers,” or clues, to identify adverse events (AEs) is an effective method for measuring the overall level of harm in a health care organization.

What is the IHI ICU adverse event trigger tool?

IHI Intensive Care Unit (ICU) Adverse Event Trigger Tool The ICU Adverse Event Trigger Tool provides instructions for conducting a retrospective review of patient records using triggers to identify possible adverse events.

What is IHI trigger tool for skilled nursing facility?

The IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events provides an easy-to-use method for accurately identifying adverse events (harm) and measuring the rate of adverse event incidence over time in skilled nursing facilities (SNFs).

How are trigger tools used to identify harm?

These Trigger Tools provide an easy-to-use method for accurately identifying AEs (harm) and measuring the rate of AEs over time. Tracking AEs over time is a useful way to tell if changes being made are improving the safety of the care processes.