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PSNet: Patient Safety Network
Journal Article
Study

Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool.

Kirkendall ES, Kloppenborg E, Papp J, et al. Pediatrics. 2012;130:e1206-14.

The Institute for Healthcare Improvement's (IHI) Global Trigger Tool is a well-established sampling method for measuring adverse events in adult patients. Previously, a modified pediatric-focused tool aimed at identifying medication-related errors was developed; however, the full IHI trigger tool has never been formally evaluated in a pediatric setting. In this retrospective chart review study, the Global Trigger Tool identified a higher rate of harm (2 to 3 times) than that seen in previous pediatric research. Dr. Paul Sharek discusses trigger tools and other approaches for measuring adverse event rates in an AHRQ WebM&M perspective.