The accuracy of the Global Trigger Tool is higher for the identification of adverse events of greater harm: a diagnostic test study.

Sara Monteiro Moraes; Teresa Cristina Abreu Ferrari; Alline Beleigoli

Study

The accuracy of the Global Trigger Tool is higher for the identification of adverse events of greater harm: a diagnostic test study.

March 22, 2023

Moraes SM, Ferrari TCA, Beleigoli A. Int J Qual Health Care. 2023;34(1):mzad005.

View more articles from the same authors.

The IHI Global Trigger Tool (GTT) is used to detect adverse events (AE) in hospitalized patients, but studies have shown variability in the types and rates of errors detected. In this study, researchers aimed to determine the accuracy of the GTT through a diagnostic test study. The GTT showed satisfactory sensitivity, specificity, and global accuracy for AE detection, but performed better when minor harm AEs were excluded.

PubMed citation

Free full text

Related Resources From the Same Author(s)

Crossover of the patient satisfaction surveys, adverse events and patient complaints for continuous improvement in radiotherapy department.

April 20, 2022

Measure Dx: implementing pathways to discover and learn from diagnostic errors.

September 28, 2022

COVID-19 pandemic: a time for collaboration and a unified global health front.

August 12, 2020

Embracing multiple aims in healthcare improvement and innovation.

March 23, 2022

Exploring the impact of employee engagement and patient safety.

September 14, 2022

The use of a standard design medication room to promote medication safety: organizational implications.

February 13, 2013

Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse event rates.

March 3, 2021

Understanding complaints made about surgical departments in a UK district general hospital.

August 4, 2021

Hospital medication errors: a cross sectional study.

December 23, 2020

Clinical and financial implications of second-opinion surgical pathology review.

April 7, 2021

Human factors and ergonomics at time of crises: the Italian experience coping with COVID19.

July 22, 2020

Common general surgical never events: analysis of NHS England never event data.

April 7, 2021

An examination of Leapfrog safety measures and Magnet designation.

April 5, 2023

A quality improvement initiative using peer audit and feedback to improve compliance with the surgical safety checklist.

July 27, 2022

Effect of automated unit dose dispensing with barcode scanning on medication administration errors: an uncontrolled before-and-after study.

December 1, 2021

Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool methodology.

April 20, 2022

Effect of barcode technology on medication preparation safety: a quasi-experimental study.

April 14, 2021

Identifying psychiatric diagnostic errors with the Safer Dx Instrument.

September 30, 2020

Adopting system models for multiple incident analysis: utility and usability.

October 27, 2021

Beyond the corrective action hierarchy: a systems approach to organizational change.

August 26, 2020

Learning from safety incidents in high reliability organizations: a systematic review of learning tools that could be adapted and used in healthcare.

March 31, 2021

The patient died: what about involvement in the investigation process?

June 24, 2020

How safe is prehospital care? A systematic review.

November 17, 2021

Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscious bias within health systems.

November 17, 2021

Expanding frontiers of risk management: care safety in nursing home during COVID-19 pandemic.

September 30, 2020

A meta-review of methods of measuring and monitoring safety in primary care.

September 15, 2021

COVID-19: patient safety and quality improvement skills to deploy during the surge.

June 24, 2020

Factors influencing family member perspectives on safety in the intensive care unit: a systematic review.

December 9, 2020

Dedicated teams to optimize quality and safety of surgery: a systematic review.

November 16, 2022

Comparison of a voluntary safety reporting system to a global trigger tool for identifying adverse events in an oncology population.

August 3, 2022

Test-retest reliability of an experienced Global Trigger Tool review team.

October 27, 2021

Provider-patient communication and hospital ratings: perceived gaps and forward thinking about the effects of COVID-19.

December 16, 2020

Are operating room distractions, interruptions, and disruptions associated with performance and patient safety? A systematic review and meta-analysis.

May 19, 2021

The incidence and nature of in-hospital adverse events: a systematic review.

June 18, 2008

Predictive power of the "trigger tool" for the detection of adverse events in general surgery: a multicenter observational validation study.

March 9, 2022

Bundle interventions including nontechnical skills for surgeons can reduce operative time and improve patient safety.

December 9, 2020

Using the Global Trigger Tool in surgical and neurosurgical patients: a feasibility study.

September 7, 2022

Perspectives on patient and family engagement with reduction in harm: the forgotten voice.

August 15, 2018

Humanizing harm: using a restorative approach to heal and learn from adverse events.

May 4, 2022

Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool.

January 25, 2023

Costs of intravenous adverse drug events in academic and nonacademic intensive care units.

January 16, 2008

Higher incidence of adverse events in isolated patients compared with non-isolated patients: a cohort study.

November 18, 2020

Toward safer health care: a review strategy of FDA medical device adverse event database to identify and categorize health information technology related events.

November 28, 2018

Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems.

February 2, 2020

Effectiveness of a barcode medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit: a prospective cohort study.

November 12, 2008

Challenges and strategies for patient safety in primary care: a qualitative study.

September 28, 2022

Performance of a trigger tool for detecting drug-related hospital admissions in older people: analysis from the OPERAM trial.

February 16, 2022

Variation in detected adverse events using trigger tools: a systematic review and meta-analysis.

September 21, 2022

Identifying no-harm incidents in home healthcare: a cohort study using trigger tool methodology.

August 5, 2020

Emergency department adverse events detected using the emergency department trigger tool.

August 24, 2022

Medication adverse events in the ambulatory setting: a mixed-methods analysis.

October 26, 2022

Surgical specimen management: a descriptive study of 648 adverse events and near misses.

October 5, 2016

Near-miss events detected using the emergency department trigger tool.

March 15, 2023

Recognition of adverse drug events in older hospitalized medical patients.

July 11, 2012

Impact of patient safety culture on missed nursing care and adverse patient events.

March 20, 2019

Identification of adverse events in ground transport emergency medical services.

September 14, 2011

Better understanding the downsides of low value healthcare could reduce harm.

April 21, 2021

Gender biases and diagnostic delay in inflammatory bowel disease: multicenter observational study.

February 15, 2023

Should electronic differential diagnosis support be used early or late in the diagnostic process? A multicentre experimental study of Isabel.

October 27, 2021

Electronic health record-based prediction models for in-hospital adverse drug event diagnosis or prognosis: a systematic review.

March 29, 2023

Application of electronic trigger tools to identify targets for improving diagnostic safety.

October 17, 2018

Root causes of adverse drug events in hospitals and artificial intelligence capabilities for prevention.

May 5, 2021

The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database study.

August 24, 2022

The trigger tool as a method to measure harmful medication errors in children.

May 13, 2015

Organizational characteristics and perceptions of clinical event notification services in healthcare settings: a study of health information exchange.

December 23, 2020

Accuracy and safety of medication histories obtained at the time of intensive care unit admission of delirious or mechanically ventilated patients.

April 28, 2021

Diagnostic errors in the intensive care unit: a systematic review of autopsy studies.

August 8, 2012

The impact of health care strikes on patient mortality: a systematic review and meta-analysis of observational studies.

November 30, 2022

Health professionals' perspectives of safety issues in mental health services: a qualitative study.

March 31, 2021

Patient and health care professional perspectives on stigma in integrated behavioral health: barriers and recommendations.

March 15, 2023

Does responsibility affect the public's valuation of health care interventions? A relative valuation approach to health care safety.

July 1, 2012

Improving accuracy of handoff by implementing an electronic health record-generated tool: an improvement project in an academic neonatal intensive care unit.

October 21, 2020

Adverse events in women giving birth in a labor ward: a retrospective record review study.

November 3, 2021

Correlation between the number of patient-reported adverse events, adverse drug events, and quality of life in older patients: an observational study.

November 2, 2022

CancelRx: a health IT tool to reduce medication discrepancies in the outpatient setting.

September 1, 2021

Development and pilot evaluation of an electronic health record usability and safety self-assessment tool.

August 24, 2022

May 4, 2022

Considerations for the design of safe and effective consumer health IT applications in the home.

November 17, 2010

The burden and risk factors for adverse drug events in older patients--a prospective cross-sectional study.

February 28, 2007

A systematic review on pediatric medication errors by parents or caregivers at home.

August 11, 2021

Preventable hospital admissions related to medication (HARM): cost analysis of the HARM study.

March 1, 2011

Adverse events and burnout: the moderating effects of workgroup identification and safety climate.

July 1, 2020

CHaMP: A model for building a center to support health care worker well-being after experiencing an adverse event.

April 5, 2023

Prevalence, nature, severity and preventability of adverse drug events in mental health settings: findings from the MedicAtion relateD harm in mEntal health hospitals (MADE) study.

August 11, 2021

Towards an International Classification for Patient Safety.

February 4, 2009

Professional behavior and value erosion: a qualitative study of physicians and the electronic health record.

November 9, 2022

Improving patient safety and efficiency of medication reconciliation through the development and adoption of a computer-assisted tool with automated electronic integration of population-based community drug data: the RightRx project.

January 10, 2018

Exploring the concept of medication discrepancy within the context of patient safety to improve population health.

December 9, 2009

Artificial intelligence for identifying the prevention of medication incidents causing serious or moderate harm: an analysis using incident reporters' views.

November 24, 2021

Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patients: a systematic review.

May 5, 2021

Effect on diagnostic accuracy of cognitive reasoning tools for the workplace setting: systematic review and meta-analysis.

September 14, 2022

Safety in pediatric hospice and palliative care: a qualitative study.

September 23, 2020

Ambulance stretcher adverse events.

June 17, 2009

The diagnostic moment: a study in US primary care.

December 9, 2020

Differences between methods of detecting medication errors: a secondary analysis of medication administration errors using incident reports, the Global Trigger Tool method, and observations.

June 24, 2020

Do no harm: reaffirming the value of evidence and equipoise while minimizing cognitive bias in the COVID-19 era.

August 12, 2020

Diagnostic discordance, health information exchange, and inter-hospital transfer outcomes: a population study.

June 20, 2018

Electronic diagnostic support in emergency physician triage: qualitative study with thematic analysis of interviews.

November 16, 2022

Post-operative mortality, missed care and nurse staffing in nine countries: a cross-sectional study.

September 13, 2017

The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the Irish healthcare system.

February 3, 2021

Related Resources

Automated search methods for identifying wrong patient order entry-a scoping review.

August 23, 2023

Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic review.

August 16, 2023

Adverse Events Toolkit: Medical Record Review Methodology.

July 26, 2023

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

Interview

In Conversation with... Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring

April 26, 2023

Perspective

Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units

April 26, 2023

Effect of a Veterans Health Administration mandate to case review patients with opioid prescriptions on mortality among patients with opioid use disorder: a secondary analysis of the STORM randomized control trial.

April 19, 2023

Measuring team hierarchy during high-stakes clinical decision making: development and validation of a new behavioral observation method.

April 12, 2023

Perspectives on Safety

Annual Perspective

Technology as a Tool for Improving Patient Safety

March 29, 2023

Journal Article

Study

Reducing hospital harm: establishing a command centre to foster situational awareness.

March 29, 2023

The influence of professional identity on how the receiver receives and responds to a speaking up message: a cross-sectional study.

March 29, 2023

Teamwork is associated with reduced hospital staff burnout at military treatment facilities: findings from the 2019 Department of Defense Patient Safety Culture Survey.

March 22, 2023

Using automated methods to detect safety problems with health information technology: a scoping review.

February 8, 2023

A structured approach to EHR surveillance of diagnostic error in acute care: an exploratory analysis of two institutionally-defined case cohorts.

December 7, 2022

Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm.

November 16, 2022

Journal Article

Study

Clinician collaboration to improve clinical decision support: the Clickbusters initiative.

November 16, 2022

The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time series analysis.

October 12, 2022

The Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey: a brief, diagnostic, and actionable metric for the ability to speak up in healthcare settings.

September 14, 2022

Using the Global Trigger Tool in surgical and neurosurgical patients: a feasibility study.

September 7, 2022

The impact of drug error reduction software on preventing harmful adverse drug events in England: a retrospective database study.

August 24, 2022

A scoping review of real-time automated clinical deterioration alerts and evidence of impacts on hospitalised patient outcomes.

August 3, 2022

Room of hazards: a comparison of differences in safety hazard recognition among various hospital-based healthcare professionals and trainees in a simulated patient room.

July 27, 2022

Implementing root cause analysis and action: integrating human factors to create strong interventions and reduce risk of patient harm.

July 20, 2022

Speaking up or remaining silent about patient safety concerns in rehabilitation: a cross-sectional survey to assess staff experiences and perceptions.

July 6, 2022

Monitoring preventable adverse events and near misses: number and type identified differ depending on method used.

June 29, 2022

Allergy safety events in healthcare: development and application of a classification schema based on retrospective review.

June 15, 2022

Automated identification of diagnostic labelling errors in medicine.

June 8, 2022

Improving the specificity of drug-drug interaction alerts: can it be done?

April 6, 2022

Improving shared situation awareness for high-risk therapies in hospitalized children.

January 19, 2022

A simulation systems testing program using HFMEA methodology can effectively identify and mitigate latent safety threats for a new on-site helipad.

January 12, 2022

See More About The Topic

Hospitals

Quality and Safety Professionals

Medicine

Nurse Care

Latent Errors

The accuracy of the Global Trigger Tool is higher for the identification of adverse events of greater harm: a diagnostic test study.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Reducing hospital harm: establishing a command centre to foster situational awareness.

Clinician collaboration to improve clinical decision support: the Clickbusters initiative.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

The accuracy of the Global Trigger Tool is higher for the identification of adverse events of greater harm: a diagnostic test study.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Reducing hospital harm: establishing a command centre to foster situational awareness.

Clinician collaboration to improve clinical decision support: the Clickbusters initiative.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site