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.