The Emergency Department Trigger Tool: A Novel Approach to Screening for Quality and Safety Events.

ABSTRACT:

Study objective

Trigger tools improve surveillance for harm by focusing reviews on records with "triggers" whose presence increases the likelihood of an adverse event. We refine and automate a previously developed emergency department (ED) trigger tool and present record selection strategies to further optimize yield.

Methods

We specified 97 triggers for extraction from our electronic medical record, identifying 76,894 ED visits with greater than or equal to 1 trigger. We reviewed 1,726 records with greater than or equal to 1 trigger, following a standard trigger tool review process. We validated query performance against manual review and evaluated individual triggers, retaining only those associated with adverse events in the ED. We explored 2 approaches to enhance record

SUBMITTER: Griffey RT 

PROVIDER: S-EPMC7153965 | biostudies-literature | 2020 Aug

REPOSITORIES: biostudies-literature