Trigger tools

Risk Medication, Medication Review, Medication Reconciliation, Adverse Drug Events, Trigger tools. 

Trigger Tools are available. A list of shared trigger tools for use in various settings is available (IHI Trigger Tools 2008). 

The professional and team approach should be targeted in the same direction and appropriate systematic approaches such as trigger tools, medication- reconciliation and review should be used... 

IHI Trigger Tools (2008) Institute for Health care Improvement. Trigger Tools for Measuring ADE. 

Rozich JD, Haraden CR, Resar RK, 2003. Adverse drug event trigger tool A practical methodology for measuring medication related harm. Qual Saf Health Care 12 194. 

Classen D, Resar R, Griffin F, Federico F, Frankel T, Kimmel N, et al. Global trigger tool shows that adverse events in hospitals may be ten times greater than previously measured. Health Aff. 2011 30(4) 581-9. 

MS, must be performed to determine the product location. In contrast, mass spectrometers are better triggering tools for compound specific fraction collection. In the select ion monitor (SIM) mode the mass spectrometer can selectively trigger fraction collection when the specific mass-to-charge ratio that corresponds to the molecular ion of the desired product, leaving impurities of different molecular weight uncollected. 

At the time of writing the impact of SPI on patient outcomes is not clear. There has been some evaluation of the clinical indices on the first four sites, but conflicting views on the effectiveness of the programme. Some have claimed that the adverse event rate, as measured by the global trigger tool, has reduced... 

There ate a number of methods that have been used for measuring safety performance in a specific organisation and its subsets or work units, such as departments and wards. Common methods such as observation, interviews and questionnaire surveys have not only been applied to achieve this, but special methods have also been developed. One of the special methods for this purpose is the Global Trigger Tool, which was developed by the Institute for Healthcare Improvement (Griffin and Resar 2009 IHI 2006). Some methods can make use of data that have been collected originally for other purposes and exploit the data to measure the safety performance of an organisation or its work units. A typical... 

IHl 2006. IHI Global Trigger Tool Guide (Version 7). Cambridge, MA Institute for Healthcare Improvement. 

Lipczak, H., Neckelmann, K., Steding-Jessen, M., Jakobsen, E., Knudsen, J.L. 2011. Uncertain added value of Global Trigger Tool for monitoring of patient safety in cancer care. Danish Medical Bulletin, 58(11), A4337. 

Mattsson, T.O., Knudsen, J.L., Lauritsen, J., Biixen, K. and Herrstedt, J. 2013. Assessment of the global trigger tool to measnre, monitor and evaluate patient safety in cancer patients Reliability concerns are raised. BMJ Quality and Safety, 22, 571-9. doi 10.1136/bmjqs-2012-001219. 

Schildmeijer, K., Nilsson, L., Arestedt, K. and Perk, J. 2012. Assessment of adverse events in medical care Lack of consistency between experienced teams using the global trigger tool. BMJ Quality and Safety, 21(4), 307-14. doi 10.1136/ bmjqs-2011-000279. Epub 2012 Feb 23. 

The effectiveness of the standard was also demonstrated by means of a trigger tool analysis of 100 medical records before and after introduction of the standard. This showed that major harmful events, such as those leading to rehospitalisation... 

The aviation industry has pioneered this process with its regulatory provisions for systematic analysis of on-board flight recorders (the tape for each flight is read and all abnormal values outside a normality envelope are subjected to additional manual analysis ). The analysis of medical records using the trigger tools method has been... 

Resar R, Rozich J, Classen D (2003) Methodology and rationale for the measurement of harm with trigger tools. Qual Saf Health Care 12 39-45... 

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