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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

Background

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

Directions

Read the 2008 Pediatrics article: Development, Testing, and Findings of a Pediatric-Focused Trigger Tool to Identify Medication-Related Harm in US Children's Hospitals
Full toolkit available upon request: helpdesk@childrenshospitals.org

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IHI Global Trigger Tool for Measuring Adverse Events
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.
Introduction to Trigger Tools for Identifying Adverse Events
The use of triggers, or clues, to identify adverse events is an effective method for measuring the overall level of harm from medical care in a health care organization.