The emergency department trigger tool: a novel approach to screening for quality and safety events.

Richard T. Griffey; Ryan M. Schneider; Alexandre A Todorov

Study

The emergency department trigger tool: a novel approach to screening for quality and safety events.

September 30, 2020

Griffey RT, Schneider RM, Todorov AA. Ann Emerg Med. 2020;76(2):230-240.

View more articles from the same authors.

This study assessed the performance of an automated emergency department (ED) trigger tool designed to identify a more efficient sample of adverse event cases for chart review. Beginning with a set of 97 candidate triggers, researchers identified those triggers associated with adverse events and arrived at a narrowed set of 30 triggers, eliminating almost half of the population of records eligible for manual review. This computerized query may eliminate the need for manual screening for triggers.

PubMed citation

Available at

Related Resources From the Same Author(s)

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

August 24, 2022

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

March 15, 2023

Adverse events present on arrival to the emergency department: the ED as a dual safety net.

March 11, 2020

Adverse events among emergency department patients with cardiovascular conditions: a multicenter study.

March 10, 2021

When safety event reporting is seen as punitive: "I've been PSN-ed!"

September 9, 2020

The influence of the availability heuristic on physicians in the emergency department.

November 17, 2021

Accuracy of emergency department clinical findings for diagnosis of coronavirus disease 2019.

July 29, 2020

Tolerance of uncertainty and the practice of emergency medicine.

July 15, 2020

Critical events during land-based interfacility transport.

February 12, 2014

The safety of emergency care systems: results of a survey of clinicians in 65 US emergency departments.

March 4, 2009

Emergency department discharge prescription interventions by emergency medicine pharmacists.

June 20, 2012

Prehospital naloxone and emergency department adverse events: a dose-dependent relationship.

November 25, 2020

Usability study of two common defibrillators reveals hazards.

January 2, 2008

Identifying trigger concepts to screen emergency department visits for diagnostic errors.

December 16, 2020

The impact of the COVID-19 pandemic on Emergency Department visits and patient safety in the United States.

August 26, 2020

Assessing resident and attending error and adverse events in the emergency department.

March 2, 2022

Incidence of prescription errors in patients discharged from the emergency department.

September 22, 2021

Emergency department monitor alarms rarely change clinical management: an observational study.

September 16, 2020

Electronic medical record-based interventions to encourage opioid prescribing best practices in the emergency department.

September 30, 2020

An examination of medical malpractice claims involving physician trainees.

August 19, 2020

The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors.

February 10, 2021

Debriefing in the emergency department after clinical events: a practical guide.

December 17, 2014

Reaching the summit of discharge summaries: a quality improvement project.

March 3, 2021

Making Health Care Safer: A Critical Review of Modern Evidence Supporting Strategies to Improve Patient Safety.

March 6, 2013

Impact of staff turnover during cardiac surgical procedures.

February 12, 2020

A diagnostic time-out to improve differential diagnosis in pediatric abdominal pain.

July 14, 2021

COVID-19: an emerging threat to antibiotic stewardship in the emergency department.

October 21, 2020

Racial, ethnic, and socioeconomic disparities in estimates of AHRQ patient safety indicators.

April 21, 2005

Assessing and supporting late career practitioners: four key questions.

September 30, 2020

The potential for improved teamwork to reduce medical errors in the emergency department.

March 27, 2005

Association between in-clinic opioid administration and discharge opioid prescription in urgent care: a retrospective cohort study.

February 17, 2021

Abdominal pain in the emergency department: missed diagnoses.

November 24, 2021

The effect of implementing bar-code medication administration in an emergency department on medication administration errors and nursing satisfaction.

October 21, 2020

What can patient safety teach us about clinician burnout?

January 8, 2020

System factors affecting intraoperative risk and resilience: applying a novel integrated approach to study surgical performance and patient safety.

February 10, 2021

Reducing nosocomial transmission of COVID-19: implementation of a COVID-19 triage system.

October 28, 2020

Addressing systemic racism in nursing homes: a time for action.

April 14, 2021

Streamlining care in crisis: rapid creation and implementation of a digital support tool for COVID-19.

October 21, 2020

Multidisciplinary simulation activity effectively prepares residents for participation in patient safety activities.

October 16, 2019

Keeping patients at risk for self-harm safe in the emergency department: a protocolized approach.

December 2, 2020

Is there a link between nursing home reported quality and COVID-19 cases? Evidence from California skilled nursing facilities.

August 12, 2020

Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006-2019.

April 27, 2022

Forgive and forget: recognition of error and use of apology as preemptive steps to ADR or litigation in medical malpractice cases.

May 10, 2006

Delayed access to care and late presentations in children during the COVID-19 pandemic: a snapshot survey of 4075 paediatricians in the UK and Ireland.

July 29, 2020

The National Emergency Department Safety Study: study rationale and design.

January 9, 2008

Adverse events during intrahospital transport of critically ill patients: a systematic review and meta-analysis.

February 9, 2022

Association of implementation and social network factors with patient safety culture in medical homes: a coincidence analysis.

September 2, 2020

Medication use leading to emergency department visits for adverse drug events in older adults.

December 19, 2007

Estimation of breast cancer overdiagnosis in a U.S. breast screening cohort.

March 16, 2022

States Targeting Reduction in Infections via Engagement (STRIVE).

November 20, 2019

Comparing patient-reported hospital adverse events with medical record review: do patients know something that hospitals do not?

July 23, 2008

Incidence, severity and preventability of medication-related visits to the emergency department: a prospective study.

June 18, 2008

Pediatric trainees' speaking up about unprofessional behavior and traditional patient safety threats.

September 30, 2020

A sociotechnical framework for safety-related electronic health record research reporting: the SAFER reporting framework.

June 24, 2020

Lessons learned from a systems approach to engaging patients and families in patient safety transformation.

February 12, 2020

The accuracy of preliminary diagnoses made by paramedics - a cross-sectional comparative study.

October 7, 2020

Opioid prescribing to US children and young adults in 2019.

September 1, 2021

Identifying errors and safety considerations in patients undergoing thrombolysis for acute ischemic stroke.

April 21, 2021

Ventilator-associated pneumonia—the wrong quality measure for benchmarking.

January 2, 2008

Preventable medication harm across health care settings: a systematic review and meta-analysis.

February 17, 2021

Finding the right balance: an evidence-informed guidance document to support the re-opening of Canadian nursing homes to family caregivers and visitors during the coronavirus disease 2019 pandemic.

October 28, 2020

When disasters strike the emergency department: a case series and narrative review.

November 10, 2021

Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports.

November 3, 2021

ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing-2019.

September 30, 2020

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

January 25, 2023

Association of default electronic medical record settings with health care professional patterns of opioid prescribing in emergency departments: A randomized quality improvement study

February 12, 2020

Diagnostic error in the emergency department: learning from national patient safety incident report analysis.

January 15, 2020

Rapid response teams as a patient safety practice for failure to rescue.

July 7, 2021

The cost of quality: an academic health center's annual costs for its quality and patient safety infrastructure.

July 25, 2018

SECUre: a multicentre survey of the safety of emergency care in UK emergency departments.

November 24, 2021

A systems approach to analyzing and preventing hospital adverse events.

June 24, 2020

The diagnostic moment: a study in US primary care.

December 9, 2020

The confused and bewildered hospital: adverse event discovery, pay-for-performance, and big data tools as halfway technologies.

July 29, 2020

Prevalence of undiagnosed diabetes identified by a novel electronic medical record diabetes screening program in an urban emergency department in the US.

February 22, 2023

Safety climate associated with adverse events in nursing homes: a national VA study.

August 26, 2020

Safety culture across cultures.

January 8, 2020

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

February 3, 2021

Experiences of transgender and gender nonbinary patients in the emergency department and recommendations for health care policy, education, and practice.

July 21, 2021

Inappropriate opioid prescription after surgery.

May 29, 2019

Senior staff safety rounds: a commitment to ensure safety is the top priority.

May 16, 2018

Achieving the Institute of Medicine's 6 aims for quality in the midst of the opioid crisis: considerations for the emergency department.

January 10, 2018

The challenges and opportunities for shared decision making highlighted by COVID-19.

August 12, 2020

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

August 3, 2022

Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients.

January 12, 2022

Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questionnaire.

May 5, 2021

Sepsis quality in safety-net hospitals: an analysis of Medicare's SEP-1 performance measure.

October 2, 2019

A novel study of situational awareness among out-of-hospital providers during an online clinical simulation.

October 5, 2022

Analysis of risk factors for patient safety events occurring in the emergency department.

October 7, 2020

Pediatric musculoskeletal radiographs: anatomy and fractures prone to diagnostic error among emergency physicians.

August 3, 2022

Application of emergency preparedness principles to a pharmacy department’s approach to a “black swan” event: the COVID-19 pandemic.

April 21, 2021

A machine learning approach to reclassifying miscellaneous patient safety event reports.

July 29, 2020

Bracing for the storm: one health care system's planning for the COVID-19 surge.

November 11, 2020

Patient falls in the operating room setting: an analysis of reported safety events.

May 11, 2022

Balancing patient safety, clinical efficacy, and cybersecurity with clinician partners.

April 28, 2021

Use of an expedited review tool to screen for prior diagnostic error in emergency department patients.

September 28, 2015

The implementation of communication didactics for OB/GYN residents on the disclosure of adverse perioperative events.

July 7, 2021

Hospital ward adaptation during the COVID-19 pandemic: a national survey of academic medical centers.

September 23, 2020

Diagnosis of physical and mental health conditions in primary care during the COVID-19 pandemic: a retrospective cohort study.

October 21, 2020

Sitters as a patient safety strategy to reduce hospital falls: a systematic review.

February 26, 2020

Alcoholism and American healthcare: the case for a patient safety approach.

August 17, 2022

Related Resources

Overnight stay in the emergency department and mortality in older patients.

November 29, 2023

Incidence and severity of medication reconciliation discrepancies in trauma patients.

August 16, 2023

Improving emergency medicine clinician awareness of prehospital-administered medications.

August 9, 2023

"You just want to feel safe when you go to a healthcare professional:" intimate partner violence and patient safety.

August 2, 2023

In situ simulation as a quality improvement tool to identify and mitigate latent safety threats for emergency department SARS-CoV-2 airway management: a multi-institutional initiative.

June 28, 2023

The influence of personality on psychological safety, the presence of stress and chosen professional roles in the healthcare environment.

June 21, 2023

Patient safety in emergency departments: a problem for health care systems? An international survey.

June 21, 2023

WebM&M Cases

The One That Got Away—Elopement of a Suicidal Patient in the Emergency Department.

June 14, 2023

Patient Safety Innovations

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

May 31, 2023

I like what you are saying, but only if I feel safe: psychological safety moderates the relationship between voice and perceived contribution to healthcare team effectiveness.

May 24, 2023

Qualitative perspectives of emergency nurses on electronic health record behavioral flags to promote workplace safety.

May 17, 2023

Reducing diagnostic errors in the emergency department at the time of patient treatment.

March 29, 2023

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

March 15, 2023

Crisis in the Lakeshore Hospital ER.

March 8, 2023

Misdiagnosis in the emergency department: time for a system solution.

February 8, 2023

Patient and hospital characteristics associated with delayed diagnosis of appendicitis.

February 1, 2023

Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings.

December 7, 2022

Patient Safety Innovations

Journal Article

Study

Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings.

November 16, 2022

Barcode medication administration software technology use in the emergency department and medication error rates.

August 31, 2022

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

August 24, 2022

Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department.

August 17, 2022

In situ simulation for adoption of new technology to improve sepsis care in rural emergency departments.

June 22, 2022

Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department.

May 25, 2022

Assessing quality of older persons' emergency transitions between long-term and acute care settings: a proof-of-concept study.

May 18, 2022

Use of e-triggers to identify diagnostic errors in the paediatric ED.

April 6, 2022

Psychological safety during the test of new work processes in an emergency department.

April 6, 2022

Impact of teamwork and communication training interventions on safety culture and patient safety in emergency departments: a systematic review.

January 26, 2022

SECUre: a multicentre survey of the safety of emergency care in UK emergency departments.

November 24, 2021

When disasters strike the emergency department: a case series and narrative review.

November 10, 2021

Incidence of prescription errors in patients discharged from the emergency department.

September 22, 2021

See More About The Topic

Emergency Departments

Quality and Safety Professionals

Emergency Medicine

Emergency Nursing

Medication Errors/Preventable Adverse Drug Events

The emergency department trigger tool: a novel approach to screening for quality and safety events.

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

Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

The emergency department trigger tool: a novel approach to screening for quality and safety events.

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

Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings.

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