Identifying Previously Undetected Harm: Piloting the Institute for Healthcare Improvement's Global Trigger Tool in the Veterans Health Administration
From Clinfowiki
This is a review of the 2015 article "Identifying Previously Undetected Harm: Piloting the Institute for Healthcare Improvement's Global Trigger Tool in the Veterans Health Administration" by Mull et al.[1]
Introduction
Adverse Event (AE)
Methods
Results
109 AEs identified using GTT methodology
88% of identified AEs were not detected by the existing surveillance measures such as VA Surgical Quality Program (VASQIP) or Patient Safety Quality Indicators (PSIs) 60% the AEs identified resulted in minor harm
Discussion
Comments
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References
- ↑ http://www.ncbi.nlm.nih.gov/pubmed/?term=Identifying+Previously+Undetected+Harm%3A+Piloting+the+Institute+for+Healthcare+Improvement%E2%80%99s+Global Mull HJ, Brennan CW, Folkes T, Hermos J, Chan J, Rosen AK, Simon SR.Identifying Previously Undetected Harm: Piloting the Institute for Healthcare Improvement's Global Trigger Tool in the Veterans Health Administration. Qual Manag Health Care. 2015 Jul-Sep;24(3):140-6. doi: 10.1097/QMH.0000000000000060.