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  • IHI Global Trigger Tool Training Resources
    IHI Global Trigger Tool Training Resources Tools Resources Resources How to Improve Measures Changes Improvement Stories Tools Publications IHI White Papers Case Studies Audio and Video Presentations Posterboards Other Websites IHI LR Wide IHI Global Trigger Tool Training Resources Page Content Institute for Healthcare Improvement Cambridge Massachusetts USA The use of triggers or clues to identify adverse events AEs is an effective method for measuring the overall level of harm in a health care organization The IHI Global Trigger Tool for Measuring Adverse Events provides instructions for training reviewers in this methodology and conducting a retrospective review of patient records using triggers to identify possible AEs The IHI Global Trigger Tool is best utilized when used by personnel who have been trained as reviewers for this methodology Below is a suggested plan and materials to help train reviewers on the IHI Global Trigger Tool methodology Suggested Reviewer Training Plan Read the IHI Global Trigger Tool for Measuring Adverse Events about 30 minutes NOTE Do NOT read the results of training charts pp 36 39 when reading the white paper to obtain maximum benefit of training Listen to the IHI Global Trigger Tool Overview audio recording 90 minutes Materials from the audio recording Overview Call Recording Reviewers should independently review the 5 examples in the Training Record Set using the IHI Global Trigger Tool Each reviewer should write down findings and then compare with the results of the training charts described in the IHI Global Trigger Tool pp 36 39 about 60 minutes Optional Additional audio recordings feature questions and answers on Trigger Tool use 60 minutes per recording Q A Session Part 1 Q A Session Part 2 Silverlight web part for playing Audio and Video files Featured Content first last IHI Global Trigger Tool for Measuring Adverse Events Second

    Original URL path: http://www.ihi.org/resources/Pages/Tools/IHIGlobalTriggerToolTrainingResources.aspx (2016-02-01)
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  • IHI Intensive Care Unit (ICU) Adverse Event Trigger Tool
    or more intensive care units The Intensive Care Unit ICU Adverse Event Trigger Tool includes adverse drug events but also goes beyond medications to include any unintended event occurring in association with medical care to patients in an intensive care unit The ICU Adverse Event Trigger Tool provides instructions for conducting a retrospective review of patient records using triggers to identify possible AEs This tool includes a list of known AE triggers and instructions for measuring the number and degree of harmful events The tool provides instructions and forms for collecting the data you need to measure the number of AEs For more general information on Trigger Tools and how to select the appropriate one see the Introduction to Trigger Tools page Background The ICU Adverse Event Trigger Tool builds upon the work of the Trigger Tool for Measuring Adverse Drug Events developed by IHI and Premier in 2000 The ICU Adverse Event Trigger Tool includes adverse drug events but also goes beyond medications to include any noxious or unintended event occurring in association with medical care to surgical inpatients The World Health Organization definition of adverse events includes events caused by errors Some errors are harmless some cause injury and some are near misses that is they do not cause injury to the patient either by chance or because they are intercepted before being administered or provided to the patient The definition used for harm in the ICU Adverse Event Trigger Tool is An adverse event is an injury or harm related to or from the delivery of care This tool provides an easy to use method for accurately identifying AEs harm and measuring the rate of AEs over time to identify areas for improvement within the organization Tracking AEs over time is a useful way to tell if

    Original URL path: http://www.ihi.org/resources/Pages/Tools/ICUAdverseEventTriggerTool.aspx (2016-02-01)
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  • IHI Outpatient Adverse Event Trigger Tool
    is an effective method for measuring the overall level of harm from medical care in an organization The outpatient continuum has proved especially difficult because a different technique for analysis of adverse events is required The inpatient Trigger Tool methodologies are limited to a single inpatient experience A single outpatient experience is time and exposure limited which makes the practicality of adverse event identification very difficult By necessity a process of banding together multiple episodes of care across the continuum must be utilized A methodology was developed using triggers derived from malpractice claims data to identify outpatient related adverse events The Outpatient Trigger Tool uses eleven triggers to provide clues to the possibility of adverse events in a patient record For more general information on Trigger Tools and how to select the appropriate one see the Introduction to Trigger Tools page Background Knowledge and expertise gained from using the Trigger Tool in the hospital setting both as a global and specialty area tool has generated interest in a tool for determining events in the outpatient setting The identification of events in the outpatient setting is made more difficult by the short episodes of care occurring over time in multiple different settings In 2001 the Institute for Healthcare Improvement IHI started the initial work on the Outpatient Adverse Event Trigger Tool In 2005 and 2006 the outpatient methodology was tested at Kaiser Permanente and Baylor Health System with input from IHI faculty The Outpatient Trigger Tool has been tested on hundreds of patient charts representing hundreds of patient years and this toolkit represents the latest version of the tool Directions This tool contains Introduction Definition of Adverse Events Explanation of Trigger Tool Methodology Triggers and Definitions Individual Record Review Sheet Summary Data Collection Form Classification of Event Severity Documents Documents IHI

    Original URL path: http://www.ihi.org/resources/Pages/Tools/OutpatientAdverseEventTriggerTool.aspx (2016-02-01)
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  • All
    Tool IHI Global Trigger Tool for Measuring Adverse Events The use of triggers or clues to identify adverse events AEs is an effective method for measuring the overall level of harm in a health care organization IHI Global Trigger Tool Training Resources A suggested plan and materials to help train reviewers on the IHI Global Trigger Tool methodology IHI Intensive Care Unit ICU Adverse Event Trigger Tool The ICU Adverse Event Trigger Tool provides instructions for conducting a retrospective review of patient records using triggers to identify possible adverse events IHI Outpatient Adverse Event Trigger Tool This tool is used to identify outpatient related adverse events using specifically defined triggers or clues IHI Perinatal Trigger Tool The Perinatal Trigger Tool provides instructions for conducting a retrospective review of patient records using triggers to identify possible adverse events causing any physical harm to the infant or mother IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events The IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events provides an easy to use method for accurately identifying adverse events harm and measuring the rate of adverse event incidence over time in skilled nursing facilities SNFs IHI Surgical Trigger Tool for Measuring Peri operative Adverse Events The use of triggers or clues to identify peri operative adverse events is an effective method for measuring the overall level of harm from medical care in a health care organization IHI Trigger Tool for Measuring Adverse Drug Events A method for using triggers or clues in patient records to identify ADEs that may not have been reported through traditional mechanisms IHI Trigger Tool for Measuring Adverse Events in the Neonatal Intensive Care Unit This tool includes a list of potential adverse event AE triggers and instructions for collecting the data you need to measure either

    Original URL path: http://www.ihi.org/resources/pages/ViewAll.aspx?FilterField1=IHI_x0020_Content_x0020_Type&FilterValue1=038f90e0-a18e-4460-a5ea-d29ae9817b3b&Filter1ChainingOperator=Or&FilterField2=IHI_x0020_Topic&FilterValue2=6596896b-d6a6-48cc-81fc-b8fc21990ac4&Filter2ChainingOperator=Or&TargetWebPath=/resources&orb=Title&ChangeDateOrder=true (2016-02-01)
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  • WIHI: The Power to Detect and Improve: Revisiting the IHI Global Trigger Tool and Adverse Events
    Resources Resources How to Improve Measures Changes Improvement Stories Tools Publications IHI White Papers Case Studies Audio and Video Presentations Posterboards Other Websites IHI LR Wide WIHI The Power to Detect and Improve Revisiting the IHI Global Trigger Tool and Adverse Events Page Content Date April 14 2011 Featuring David C Classen MD MS Associate Professor of Medicine University of Utah Active Consultant in Infectious Diseases University of Utah School of Medicine Senior Partner CSC Roger K Resar MD Senior Fellow Institute for Healthcare Improvement Andrea Kabcenell RN MPH Vice President Institute for Healthcare Improvement Kathleen M Haig RN Corporate Patient Safety Officer OSF Health Care System It s safe to say that reducing harm is a priority at virtually every health care delivery organization today in the US Few health care leaders waste time anymore defending high rates of hospital acquired infections or medication errors Progress is also notable in this country and other nations similarly focused on improvement when it comes to significant reductions in infections associated with use of central lines ventilators resistant bacteria or with events such as preventable patient falls That s the good news The mixed news is that when independent researchers dig deep into patient charts and look for signs or triggers of adverse events using the IHI Global Trigger Tool GTT or something approximate conducting reviews over a month several months even several years they re finding higher rates of harm than even the most committed improvers realize exist especially if they ve been relying on other common detection methodologies The latest findings to reinforce this gap in perception and facts on the ground have just been published in the journal Health Affairs The article s two leading authors David Classen and Roger Resar would like to help everyone make better sense of the mounting evidence that points to the power of the IHI GTT as a measurement and detection tool WIHI host Madge Kaplan welcomes the two to the program along with IHI Vice President Andrea Kabcenell and Kathleen Haig of OSF St Francis Medical Center Drawing on our guests expertise the goal of this timely WIHI is to explain why overall rates of adverse events haven t been as affected by improvement strategies as many would have expected how use of the IHI GTT can deepen understanding of where problems persist what improvement strategies may best address areas in need of attention and how it s possible to work successfully with the GTT as part of an overall patient safety and harm reduction strategy just ask OSF which has seen marked improvement across their system and raised awareness with help from the regular routine use of the GTT at seven hospitals We know everyone is working hard on multiple fronts to improve quality and safety If efforts can become more targeted and effective based on more robust detection methodologies that s a good thing Read the Health Affairs article Listen to the Broadcast Silverlight web part for playing Audio and

    Original URL path: http://www.ihi.org/resources/Pages/AudioandVideo/WIHIRevisitingIHIGlobalTriggerToolandAEs.aspx (2016-02-01)
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  • WIHI: The Power to Detect and Reduce Harm: IHI’s Global Trigger Tool and Adverse Events in the US
    in the US Page Content Date October 21 2010 Featuring Lee Adler DO Vice President for Quality Safety Innovation and Research Florida Hospital Ruth Ann Dorrill MPA Team Leader Office of Inspector General US Department of Health and Human Services Amy Ashcraft Senior Analyst Office of Inspector General US Department of Health and Human Services Donald Goldmann MD Senior Vice President Institute for Healthcare Improvement Fran Griffin Senior Manager of Clinical Programs for BD Medical Medical Surgical Systems Faculty Institute for Healthcare Improvement How often are patients harmed in US hospitals and what is the best way to determine this Ever since the Institute of Medicine IOM estimated that up to 98 000 patients die in hospitals each year due to medical errors and some subsequent studies that claim the number is much higher getting a more precise national handle on where and when and how frequently harm occurs has bedeviled most researchers Without a baseline it s been impossible to state with any certainty whether patients are any safer today in US hospitals than they were ten years ago when the IOM issued its seminal report This is the backdrop for a groundbreaking series of studies that the Office of Inspector General OIG at the Department of Health and Human Services has been undertaking In the past two years the OIG has issued a series of reports focused on harm that reaches hospitalized Medicare recipients including analysis of the sensitivity and accuracy of methods for detecting harm Its most recent report slated for publication in October provides a first of its kind national incidence rate for adverse events IHI s Global Trigger Tool designed to facilitate a retrospective review of medical records to identify adverse events combined with a physician review has been singled out by the OIG as

    Original URL path: http://www.ihi.org/resources/Pages/AudioandVideo/WIHIPowertoDetectReduceHarmIHIGlobalTriggerTool.aspx (2016-02-01)
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  • All
    People How to Get Involved Finances In the News Supporters Careers Contact FAQs Topics All Topics A Z Improvement Capability Person Family Centered Care Patient Safety Quality Cost and Value Triple Aim for Populations Education Education Overview Conferences In Person Training Virtual Training Audio and Video Programs Passport to IHI Training IHI Open School Resources Resources Overview How to Improve Measures Changes Improvement Stories Tools Publications IHI White Papers Case Studies Audio and Video Presentations Posterboards Other Websites Regions Regions Overview Africa Asia Pacific Europe Latin America Middle East North America Engage with IHI Engage with IHI Overview Collaboratives Initiatives Membership Programs Fellowship Programs Strategic Partnerships Customized Services Blogs and User Groups Resources All Quick Launch Resources Currently selected How to Improve Measures Changes Improvement Stories Tools Publications IHI White Papers Case Studies Audio and Video Presentations Posterboards Other Websites Page Content 2 items found Title Rating WIHI The Power to Detect and Improve Revisiting the IHI Global Trigger Tool and Adverse Events April 14 2011 The authors discuss a new study in Health Affairs that finds that the IHI Global Trigger Tool identified at least ten times more confirmed serious events than other methods WIHI The Power to Detect

    Original URL path: http://www.ihi.org/resources/pages/ViewAll.aspx?FilterField1=IHI_x0020_Content_x0020_Type&FilterValue1=afa74b95-97b6-4580-90b8-f2af5abe959f&Filter1ChainingOperator=Or&FilterField2=IHI_x0020_Topic&FilterValue2=6596896b-d6a6-48cc-81fc-b8fc21990ac4&Filter2ChainingOperator=Or&TargetWebPath=/resources&orb=Created (2016-02-01)
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  • All
    Home About Us Topics Education Resources Regions Engage with IHI My IHI Home About Us Vision Mission Values History Science of Improvement Innovation People How to Get Involved Finances In the News Supporters Careers Contact FAQs Topics All Topics A Z Improvement Capability Person Family Centered Care Patient Safety Quality Cost and Value Triple Aim for Populations Education Education Overview Conferences In Person Training Virtual Training Audio and Video Programs Passport to IHI Training IHI Open School Resources Resources Overview How to Improve Measures Changes Improvement Stories Tools Publications IHI White Papers Case Studies Audio and Video Presentations Posterboards Other Websites Regions Regions Overview Africa Asia Pacific Europe Latin America Middle East North America Engage with IHI Engage with IHI Overview Collaboratives Initiatives Membership Programs Fellowship Programs Strategic Partnerships Customized Services Blogs and User Groups Resources All Quick Launch Resources Currently selected How to Improve Measures Changes Improvement Stories Tools Publications IHI White Papers Case Studies Audio and Video Presentations Posterboards Other Websites Page Content 2 items found Title Rating Passport Exclusive Improvement Skills to Empower Front Line Nurses II This recording discusses Managing Patient Care Risk Beyond the Checklist How does the front line nurse engage her team foster

    Original URL path: http://www.ihi.org/resources/pages/ViewAll.aspx?FilterField1=IHI_x0020_Content_x0020_Type&FilterValue1=bdd58e5f-558f-4ad9-8ceb-19de2369a7c1&Filter1ChainingOperator=Or&FilterField2=IHI_x0020_Topic&FilterValue2=6596896b-d6a6-48cc-81fc-b8fc21990ac4&Filter2ChainingOperator=Or&TargetWebPath=/resources&orb=Created (2016-02-01)
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