Characterization of adverse events detected in a large health care delivery system using an enhanced global trigger tool over a five-year interval.

ABSTRACT:

Objective

To report 5 years of adverse events (AEs) identified using an enhanced Global Trigger Tool (GTT) in a large health care system.

Study setting

Records from monthly random samples of adults admitted to eight acute care hospitals from 2007 to 2011 with lengths of stay ≥3 days were reviewed.

Study design

We examined AE incidence overall and by presence on admission, severity, stemming from care provided versus omitted, preventability, and category; and the overlap with commonly used AE-detection systems.

Data collection

Professional nurse reviewers abstracted 9,017 records using the enhanced GTT, recording triggers and AEs. Medical record/account numbers were matched to identify overlapping voluntary reports or AHRQ Patient Safety Indicators (PSIs).

Pr

SUBMITTER: Kennerly DA 

PROVIDER: S-EPMC4213042 | biostudies-literature | 2014 Oct

REPOSITORIES: biostudies-literature