A Trigger Tool to Identify Adverse Events in the Intensive Care Unit

摘要: Article-at-a-Glance Background The Institute for Healthcare Improvement has tested and taught use of a variety trigger tools, including those adverse medication events, neonatal intensive care global tool measuring all event categories in hospital. tools have evolved as complimentary adjunct to voluntary reporting. Trigger Tool technique was used identify the rate occurrence events unit (ICU), subset ICUs described detail. Methods Sixty-two 54 hospitals (both academic community) engaged IHI critical collaboratives between 2001 late 2004. Charts were selected using random sampling reviewed two-stage process. Results prevalence observed on 12,074 ICU admissions 11.3 events/100 patient days. For 1,294 charts from 13 which detail, 1,450 identified, 16.4 Fifty-five percent this contained at least one event. Discussion methodology is practical approach enhance detection patients. Evaluation these can be direct resource improvement work. measurement sampled chart reviews also follow impact change strategies within local ICU.