scholarly journals Developing a cancer‐specific trigger tool to identify treatment‐related adverse events using administrative data

2020 ◽  
Vol 9 (4) ◽  
pp. 1462-1472 ◽  
Author(s):  
Saul N. Weingart ◽  
Jason Nelson ◽  
Benjamin Koethe ◽  
Omar Yaghi ◽  
Stephan Dunning ◽  
...  
Keyword(s):  
Adverse Events ◽  
Administrative Data ◽  
Trigger Tool ◽  
Specific Trigger

scholarly journals PARKINSON'S SPECIFIC TRIGGER TOOL: DETECTING ADVERSE EVENTS

2014 ◽  
Vol 85 (10) ◽  
pp. e4.114-e4
Author(s):  
Robert Hurford ◽  
Sarah Kelly ◽  
Mark Joyce ◽  
Mark Kellett ◽  
Christopher Kobylecki
Keyword(s):  
Adverse Events ◽  
Trigger Tool ◽  
Specific Trigger

scholarly journals Global Trigger Tool methodology to detect adverse events: pilot study at Academic Hospital of Udine

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Scarpis ◽  
S Degan ◽  
D De Corti ◽  
F Mellace ◽  
R Cocconi ◽  
...  
Keyword(s):  
Patient Safety ◽  
Adverse Events ◽  
Academic Hospital ◽  
Trigger Tool ◽  
Hospital Acquired Infections ◽  
Frequent Type ◽  
Global Trigger Tool ◽  
Clinical Records ◽  
Hospital Acquired ◽  
Over Time

Abstract Introduction Identification and measurement of adverse events (AEs) is crucial for patient safety in order to monitor them over time and to implement quality improvement programs, testing if they are effective. Global Trigger Tool (GTT) has been proposed as a low-cost method, being also the most effective to detect AEs. This study aims to describe the number of triggers, the rate and level of AEs identified by GTT and the most frequent type of AE. Methods The Italian version of the GTT was used. Ten paper-based clinical records (CRs) randomly selected every 2 weeks were reviewed from January to April 2019 by three independent reviewers (two nurses, one doctor) at the Academic Hospital of Udine. The AEs rates calculated are: AEs per 1,000 patient-days, AEs per 100 admissions, percentage of admissions with an AE. AEs were classified by harm levels according to National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP). Results CRs reviewed were 80. Mean age of the patients was 69.3±16.4, women were 37.5%. Mean hospitalisation was 16.8±15.3. Nine were the cases of re-hospitalisation within 30 days (11.3%). The total number of trigger was 156. AEs were 31, with at least one AE on 27.5% of admissions, 38.8 AEs per 100 admissions and 23 AEs per 1,000 patient-days. AEs with harm level E, F and H were respectively 5 (16.1%), 24 (77.4%) and 2 (6.5%). The most frequent type of AE were hospital acquired infections with 15 cases (48.4%). Conclusions The most frequent type of AE was the hospital acquired infections. Rates and levels of AEs were higher than other international studies, probably because of the limited number of CRs reviewed. Key messages Global Trigger Tool is an effective method to detect adverse patient safety events in order to monitor them over time. The most frequent type of adverse events was the hospital acquired infections.

scholarly journals Three Essays on Adverse Events and Student Outcomes

2021 ◽  
Author(s):  
◽  
Olivia Wills
Keyword(s):  
High School ◽  
High School Students ◽  
Adverse Events ◽  
Administrative Data ◽  
Degree Completion ◽  
Student Outcomes ◽  
Fixed Effects ◽  
Hospital Admissions ◽  
The Impact ◽  
Low Ability

<p>This dissertation contains three essays on the impact of unexpected adverse events on student outcomes. All three attempt to identify causal inference using plausibly exogenous shocks and econometric tools, applied to rich administrative data.  In Chapter 2, I present evidence of the causal effects of the 2011 Christchurch earthquake on tertiary enrolment and completion. Using the shock of the 2011 earthquake on high school students in the Canterbury region, I estimate the effect of the earthquake on a range of outcomes including tertiary enrolment, degree completion and wages. I find the earthquake causes a substantial increase in tertiary enrolment, particularly for low ability high school leavers from damaged schools. However, I find no evidence that low ability students induced by the earthquake complete a degree on time.  In Chapter 3, I identify the impact of repeat disaster exposure on university performance, by comparing outcomes for students who experience their first earthquake while in university, to outcomes for students with prior earthquake exposure. Using a triple-differences estimation strategy with individual-by-year fixed effects, I identify a precise null effect, suggesting that previous experience of earthquakes is not predictive of response to an additional shock two years later.  The final chapter investigates the impact of injuries sustained in university on academic performance and wages, using administrative data including no-fault insurance claims, emergency department attendance and hospital admissions, linked with tertiary enrolment. I find injuries, including minor injuries, have a negative effect on re-enrolment, degree completion and grades in university.</p>

scholarly journals Keselamatan pasien dan mutu pelayanan kesehatan

2019 ◽  
Author(s):  
Fingki handayani
Keyword(s):  
Adverse Events ◽  
Trigger Tool ◽  
Do No Harm ◽  
Global Trigger Tool

Keselamatan pasien dan mutu pelayanan kesehatan yang tinggi adalah tujuan akhir yang selalu diharapkan oleh rumah sakit, manajer, tim penyedia pelayanan kesehatan, pihak jaminan kesehatan, serta pasien, keluarga dan masyarakat. Namun demikian, prinsip “First, do no harm” tidak cukup kuat untuk mencegah berkembangnya masalah keselamatan pasien. Hal ini tercermin dari tingkat dan skala masalah keselamatan pasien sejak terbitnya publikasi “To Err is Human” pada tahun 2000.1 Hingga studi-studi terkini. Di Amerika, hasil studi keselamatan pasien pada akhir tahun 1990-an menemukan angka 3,9% dan 2,7% angka kejadian yang tidak diinginkan (KTD) pada pasien rawat inap.2,3 Dua puluh tahun kemudian, pengukuran dengan Global Trigger Tool menunjukkan bahwa KTD meningkat 10 kali lipat (menjadi 32%).4 Di Indonesia, isu keselamatan pasien mulai dibahas pada tahun 2000, diikuti dengan studi pertama di 15 rumah sakit dengan 4500 rekam medik. Hasilnya menunjukkan bahwa angka KTD sangat bervariasi, yaitu 8,0%-98,2% untuk kesalahan diagnosis dan 4,1%-91,6% untuk kesalahan pengobatan.5 Sejak itu, bukti-bukti tentang keselamatan pasien di Indonesia pun merebak, meskipun belum ada studi nasional hingga saat ini. Kita patut merasa iri dengan negara-negara di Amerika Latin yang telah mempunyai studi Iberoamerican study of adverse events (IBEAS) di 58 rumah sakit dari 5 negara.

Development of a Trigger Tool to Identify Adverse Events and Harm in a Neuropsychiatry Setting

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Sangeeta Sharma ◽  
Kaveri Kapoor ◽  
Namita Nasare ◽  
Ankit Bhardhwaj ◽  
Suman Kushwaha
Keyword(s):  
Adverse Events ◽  
Trigger Tool

scholarly journals Characterisations of adverse events detected in a university hospital: a 4-year study using the Global Trigger Tool method

BMJ Open ◽  
2014 ◽  
Vol 4 (5) ◽  
pp. e004879 ◽  
Author(s):  
Hans Rutberg ◽  
Madeleine Borgstedt Risberg ◽  
Rune Sjödahl ◽  
Pernilla Nordqvist ◽  
Lars Valter ◽  
...  
Keyword(s):  
Adverse Events ◽  
University Hospital ◽  
Trigger Tool ◽  
Global Trigger Tool

scholarly journals Validation of triggers and development of a pediatric trigger tool to identify adverse events

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Maria Unbeck ◽  
Synnöve Lindemalm ◽  
Per Nydert ◽  
Britt-Marie Ygge ◽  
Urban Nylén ◽  
...  
Keyword(s):  
Adverse Events ◽  
Trigger Tool

scholarly journals An experience with the Global Trigger Tool for the study of adverse events in a medical ward

2016 ◽  
Vol IV Série (Nº 9) ◽  
pp. 97-106 ◽  
Author(s):  
Ludmila Pierdevara ◽  
Inês Ventura ◽  
Margarida Eiras ◽  
Amélia Gracias ◽  
Carina Silva
Keyword(s):  
Adverse Events ◽  
Medical Ward ◽  
Trigger Tool ◽  
Global Trigger Tool
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