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Study
Application of a trigger tool in near real time to inform quality improvement activities: a prospective study in a general medicine ward.
March 18, 2015
Wong BM, Dyal S, Etchells E, et al. BMJ Qual Saf. 2015;24(4):272-81.
This prospective error investigation study combined a trigger approach to identify possible adverse events with medical record review and structured interviews to determine underlying causes for adverse events. Investigators found that a myriad of factors contribute to adverse events, and multiple distinct interventions would be needed to prevent the detected events. The authors advocate for a framework to classify underlying causes together when they can be addressed by the same intervention.
