In a recent study led by David C. Stockwell, MD, MBA (Division of Critical Care Medicine, Department of Pediatrics, School of Medicine, The George Washington University; Center for Quality and Improvement Science, Children’s National Medical Center), researchers looked at whether using a trigger tool would identify the most common causes of harm in pediatric inpatient environments.
The trigger tool was modeled after the Institute for Healthcare Improvement’s adult-focused Global Trigger Tool. The IHI trigger tool counts only adverse events that cause harm to patients, whether or not a result of a medical error, and include events such as:
- oversedation and lethargy
- transfers to a higher level of care
Dr. Stockwell and his team did a retrospective chart review of patients discharged in February 2012. A random sample of 100 patients from each site was included in the study.
Of the 240 total events, 108 (45.0%) were assessed to have been potentially or definitely preventable. The most common patient harms were intravenous catheter infiltrations/burns, respiratory distress, constipation, pain, and surgical complications.#IHI trigger tool detects 45% #AdverseEvents that were potentially or definitely preventable #ptsafety Click To Tweet
Might such a tool been able to detect and thereby prevent these deaths?
Do you think the use of such a tool should be standard practice for all patients in hospital?trigger tool should be standard practice for all #patients in #hospital #ptsafety Click To Tweet