PMID- 31009409
OWN - NLM
STAT- MEDLINE
DCOM- 20211124
LR  - 20230928
IS  - 1549-8425 (Electronic)
IS  - 1549-8417 (Print)
IS  - 1549-8417 (Linking)
VI  - 17
IP  - 4
DP  - 2021 Jun 1
TI  - The Mental Health Trigger Tool: Development and Testing of a Specialized Trigger 
      Tool for Mental Health Settings.
PG  - e360-e366
LID - 10.1097/PTS.0000000000000606 [doi]
AB  - OBJECTIVE: Tools generally used in measuring patient safety incidents in general 
      healthcare settings are not considered suitable for mental health settings. The 
      aim of this study was to develop and evaluate a specialized trigger tool for 
      mental health settings that could detect both traditionally defined adverse 
      events (AEs) and other mental health-related patient safety incidents (MHPSIs). 
      METHODS: We first defined and categorized AEs and MHPSIs based on existing 
      literature and then developed a trigger list, initially consisting of 50 items, 
      which was subsequently reduced to 25 items after a pilot study. We then explored 
      the properties of this final 25-item trigger tool, the Mental Health Trigger Tool 
      (MHTT), through a retrospective review of 515 patient records with a two-stage 
      review process similar to Global Trigger Tool methodology. We used findings of an 
      alternative method of review which consisted of page-to-page reviews of patient 
      records in the analysis of properties of MHTT. RESULTS: Using the MHTT, at least 
      one AE was identified in 98 patient records (19%) and at least one MHPSI was 
      identified in 58 patient records (11%). The MHTT had a sensitivity of 98.6% and 
      its specificity was 100%. The probability of finding an AE/MHPSI when any trigger 
      was detected in a patient record with MHTT was 33.8% and that of individual 
      triggers ranged from 0% to 100%. CONCLUSIONS: The MHTT may offer an effective, 
      practical, and easy-to-use method in identifying and measuring safety incidents 
      in mental health settings.
CI  - Copyright (c) 2019 The Author(s). Published by Wolters Kluwer Health, Inc.
FAU - Sajith, Sreedharan Geetha
AU  - Sajith SG
AD  - From the Institute of Mental Health, Singapore.
FAU - Fung, Daniel Shuen Sheng
AU  - Fung DSS
FAU - Chua, Hong Choon
AU  - Chua HC
LA  - eng
PT  - Journal Article
PL  - United States
TA  - J Patient Saf
JT  - Journal of patient safety
JID - 101233393
SB  - IM
MH  - Humans
MH  - *Medical Errors
MH  - *Mental Health
MH  - Patient Safety
MH  - Pilot Projects
MH  - Retrospective Studies
PMC - PMC8132892
COIS- The authors disclose no conflict of interest.
EDAT- 2019/04/23 06:00
MHDA- 2021/11/25 06:00
PMCR- 2021/05/19
CRDT- 2019/04/23 06:00
PHST- 2019/04/23 06:00 [pubmed]
PHST- 2021/11/25 06:00 [medline]
PHST- 2019/04/23 06:00 [entrez]
PHST- 2021/05/19 00:00 [pmc-release]
AID - 01209203-202106000-00033 [pii]
AID - PTS50423 [pii]
AID - 10.1097/PTS.0000000000000606 [doi]
PST - ppublish
SO  - J Patient Saf. 2021 Jun 1;17(4):e360-e366. doi: 10.1097/PTS.0000000000000606.