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Hospitals are looking for a more effective way to identify events that cause harm to patients. Traditionally, efforts to detect adverse events (AEs) have focused primarily on voluntary reporting and tracking of errors. While these methods are certainly valuable, they may not be sufficient for identifying harm to patients. In fact, research has shown that only 10 to 20 percent of errors are actually reported via these methods and, of those, between 90 and 95 percent do not cause harm to patients.
The use of "triggers," or clues, to identify adverse events (AEs) is an effective method for measuring the overall level of harm in a hospital. The IHI Global Trigger Tool for Measuring Adverse Events provides instructions for conducting retrospective review of adult inpatient records using triggers to identify possible AEs. This tool includes a list of triggers and instructions for measuring the number and degree of harmful events.
IHI Web&ACTION: Using the IHI Global Trigger Tool for Measuring Patient Safety will teach participants how to use the IHI Global Trigger Tool to identify patient harm and how to use the results to measure the effectiveness of safety improvements to reduce patient harm. It is designed for teams of reviewers who intend to use the IHI Global Trigger Tool in their own hospitals. All members of the review team should participate in the three webinars. The program also includes additional telephone calls designed, in combination with the three webinars, to guide the beginner IHI Global Trigger Tool users into a sophisticated user able to create a system of tracking harm and improvement within their organization.

What You'll Learn

Upon completion of this program, participants will be able to:
  • Conduct inpatient record reviews using the IHI Global Trigger Tool
  • Determine the presence of harm in patient records
  • Summarize how to use the data collected with the IHI Global Trigger Tool

​Who Should Attend

  • Senior leaders
  • Physician leaders
  • Patient safety officers 
  • Clinical physicians and nurses
  • Critical care doctors
  • Intensivists
  • Quality professionals

Web&ACTION Programs

Web&ACTION programs combine intensive expert-led, web-based learning sessions followed by Action Periods during which participants apply their knowledge in real-time practice through detailed assignments. Each Web&ACTION series includes:
Webinars: In a series of three intensive, interactive, expert-guided web-based sessions, participants learn the basics and are guided through all essential learning and materials.
Action Periods: Each webinar is followed by an Action Period during which participating teams carry out a detailed, front-line assignment designed to put the learning from that webinar into practice. Participants submit the results of their Action Period assignment to the faculty prior to the next webinar.


Also on this Topic​

A number of publications on the use and results of these tools are available: