Difference between revisions of "Identifying Previously Undetected Harm: Piloting the Institute for Healthcare Improvement's Global Trigger Tool in the Veterans Health Administration"

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(Introduction)
(Results)
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== Results ==
 
== Results ==
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109 AEs identified using GTT methodology
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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)
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60% the AEs identified resulted in minor harm 
  
 
== Discussion ==
 
== Discussion ==

Revision as of 21:20, 11 November 2015

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

  1. 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.