Measuring harm and informing quality improvement in the Welsh NHS: the longitudinal Welsh national adverse events study.
Approach to Improving Safety
Setting of Care
This publication compared the use of the Global Trigger Tool with a two-stage retrospective review process to design a method to monitor health care–associated harm in Welsh National Health Service hospitals. Analyzing results from 11 of the 13 system hospitals, investigators determined that a hybrid incident review approach that does not rely on physician involvement can return reliable data.