Applying a modified version of the Institute for Healthcare Improvement’s global trigger tool to data from electronic health records (EHRs) can effectively identify preventable adverse events in hospitals, according to an AHRQ-funded study in BMJ Quality & Safety. The study, based on hospital stays at a large health system between 2010 and 2015, examined “escalated” care hospital stays that involved patient transfers to intensive care or activation of a rapid response team within 15 days of admission. Only lower risk patients were included. Of nearly 88,500 hospitalizations, 41 involved preventable adverse events, either due to flaws in care management or diagnostic errors. Researchers concluded that using EHR data with the modified trigger tool could reveal adverse event causes and lead to improvement strategies. Access the abstract.
BMJ Qual Saf. 2017 Sep 21. pii: bmjqs-2017-006975. doi: 10.1136/bmjqs-2017-006975. [Epub ahead of print]
An electronic trigger based on care escalation to identify preventable adverse events in hospitalised patients.
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ICU; adverse events; diagnostic errors; escalation of care; patient safety; rapid response; triggers
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