PMID- 25080549
OWN - NLM
STAT- MEDLINE
DCOM- 20150625
LR  - 20211201
IS  - 1464-3677 (Electronic)
IS  - 1353-4505 (Linking)
VI  - 26
IP  - 5
DP  - 2014 Oct
TI  - Does adding an appended oncology module to the Global Trigger Tool increase its 
      value?
PG  - 553-60
LID - 10.1093/intqhc/mzu072 [doi]
AB  - OBJECTIVE: To determine any additional value in the evaluation of safety levels 
      by adding an appended oncology module to the Institute for Healthcare 
      Improvement's Global Trigger Tool (GTT). DESIGN: Comparison of two independent 
      retrospective chart reviews: one review team using the general GTT method and one 
      using the general GTT method plus the appended oncology module on the same 
      inpatient charts. SETTING: The Department of Clinical Oncology at a Danish 
      University Hospital (1000 beds). PARTICIPANTS: All inpatients admitted to the 
      hospital in 2010, n = 3692, biweekly sample of 10 admission charts resulting in a 
      double review of 240 charts. MAIN OUTCOME MEASURES: Total number of identified 
      adverse events (AEs), distribution of identified AEs in the harm categories of 
      the National Coordinating Council for Medication Error Reporting and Prevention 
      (NCC MERP), AEs per 100 admissions and AEs per 1000 admission days. RESULTS: No 
      significant (95% confidence interval) difference was found between review teams 
      using the general GTT versus the general GTT plus the appended oncology module on 
      the total number of identified AEs, AEs per 100 admissions, AEs per 1000 
      admission days or in the overall distribution of identified AEs in the five NCC 
      MERP harm categories. CONCLUSIONS: The study showed that adding the appended 
      oncology module to the GTT did not increase its value regarding the evaluation of 
      safety levels. This finding could be due to the measurement error of the GTT. 
      Further studies evaluating the measurement properties and the specific additional 
      modules to the general GTT are needed.
CI  - (c) The Author 2014. Published by Oxford University Press in association with the 
      International Society for Quality in Health Care; all rights reserved.
FAU - Mattsson, Thea Otto
AU  - Mattsson TO
AD  - Department of Oncology, Odense University Hospital, Odense, Denmark Department of 
      Clinical Research, University of Southern Denmark, Odense, Denmark.
FAU - Knudsen, Janne Lehmann
AU  - Knudsen JL
AD  - Danish Cancer Society, Copenhagen, Denmark.
FAU - Brixen, Kim
AU  - Brixen K
AD  - Department of Clinical Research, University of Southern Denmark, Odense, Denmark 
      Department of Endocrinology, Odense University Hospital, Odense, Denmark.
FAU - Herrstedt, Jorn
AU  - Herrstedt J
AD  - Department of Oncology, Odense University Hospital, Odense, Denmark Department of 
      Clinical Research, University of Southern Denmark, Odense, Denmark.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20140730
PL  - England
TA  - Int J Qual Health Care
JT  - International journal for quality in health care : journal of the International 
      Society for Quality in Health Care
JID - 9434628
SB  - IM
MH  - Humans
MH  - *Medical Oncology
MH  - Outcome and Process Assessment, Health Care/*organization & 
      administration/standards
MH  - Patient Safety/*standards
MH  - Quality Indicators, Health Care
MH  - Retrospective Studies
OTO - NOTNLM
OT  - adverse events
OT  - oncology
OT  - patient safety
OT  - quality measurement
EDAT- 2014/08/01 06:00
MHDA- 2015/06/26 06:00
CRDT- 2014/08/01 06:00
PHST- 2014/08/01 06:00 [entrez]
PHST- 2014/08/01 06:00 [pubmed]
PHST- 2015/06/26 06:00 [medline]
AID - mzu072 [pii]
AID - 10.1093/intqhc/mzu072 [doi]
PST - ppublish
SO  - Int J Qual Health Care. 2014 Oct;26(5):553-60. doi: 10.1093/intqhc/mzu072. Epub 
      2014 Jul 30.