Pediatric Trigger Toolkit: Measuring Adverse Drug Events in the Children’s Hospital

​Child Health Corporation of America (CHCA)
Shawnee Mission, Kansas, USA

The use of “triggers,” or clues, is an effective method for detecting and preventing adverse events that result in harm to pediatric patients. The Pediatric Trigger Toolkit for Measuring Adverse Drug Events (ADEs) provides a powerful yet simple method to detect medication-related harm in pediatric inpatients. The toolkit can help hospitals implement medication system changes to ensure fewer drug-related injuries to patients.

The toolkit includes:

  • Background
  • Definitions
  • Sampling and methods for conducting trigger chart review
  • List of ADE triggers that CHCA hospitals have found most useful during chart reviews to identify ADEs
  • Frequently asked questions
  • Data collection forms
  • Randomization instructions



The Pediatric Trigger Toolkit was adapted from proven adult Trigger Tools.



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