IHI Global Trigger Tool Training Resources

Institute for Healthcare Improvement
Cambridge, Massachusetts, USA


The use of "triggers," or clues, to identify adverse events (AEs) is an effective method for measuring the overall level of harm in a health care organization. The IHI Global Trigger Tool for Measuring Adverse Events provides instructions for training reviewers in this methodology and conducting a retrospective review of patient records using triggers to identify possible AEs.

The IHI Global Trigger Tool is best utilized when used by personnel who have been trained as reviewers for this methodology. Below is a suggested plan and materials to help train reviewers on the IHI Global Trigger Tool methodology.
Suggested Reviewer Training Plan:
  1. Read the IHI Global Trigger Tool for Measuring Adverse Events. (about 30 minutes)

    [NOTE: Do NOT read the results of training charts (pp. 36-39) when reading the white paper to obtain maximum benefit of training.]

  2. Listen to the IHI Global Trigger Tool Overview audio recording. (90 minutes)
    Overview Call Recording
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  3. Reviewers should independently review the 5 examples in the Training Record Set using the IHI Global Trigger Tool. Each reviewer should write down findings and then compare with the results of the training charts described in the IHI Global Trigger Tool (pp. 36-39). (about 60 minutes)

  4. Optional: Additional audio recordings feature questions and answers on Trigger Tool use. (60 minutes per recording)
  5. Q&A Session, Part 1
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    Q&A Session, Part 2
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