PMID- 31561389
OWN - NLM
STAT- MEDLINE
DCOM- 20200527
LR  - 20200527
IS  - 1878-6847 (Electronic)
IS  - 0924-6479 (Linking)
VI  - 30
IP  - 4
DP  - 2019
TI  - Mitigating risk in Norwegian psychiatric care: Identifying triggers of adverse 
      events through Global Trigger Tool for psychiatric care.
PG  - 203-216
LID - 10.3233/JRS-190064 [doi]
AB  - BACKGROUND: Patients treated in psychiatric care are exposed to the risk of 
      adverse events, similar to patients treated in somatic health care. OBJECTIVES: 
      In this article we report the findings of triggers associated with adverse events 
      (AEs) identified by a version of the Global Trigger Tool - Psychiatry (GTT-P) 
      adapted for Norwegian hospital-based psychiatric treatment. METHODS: The design 
      was a retrospective analysis of a random sample of 240 patient records from a 
      psychiatric clinic in one Norwegian hospital. Patient records were sampled from 
      both inpatient and outpatient psychiatric clinics in hospitals serving the 
      northern part of the county of Trondelag, Norway. RESULTS: Our analysis was based 
      on the identification of 32 potential triggers of adverse events. Eighteen of the 
      triggers were significantly related to adverse events. No adverse events were 
      identified in patient records that did not also contain triggers included in the 
      Global Trigger Tool. CONCLUSIONS: There is a clear relationship between the 
      presence of triggers in a patient record and the likelihood of adverse events. 
      Particularly relevant for psychiatric patients is 'suffering' as a trigger and 
      this may also be relevant to somatic care and has implications for inclusion in 
      the GTT-P.
FAU - Okkenhaug, Arne
AU  - Okkenhaug A
AD  - Department of Psychiatry, Levanger Hospital, Nord-Trondelag Hospital Trust, 
      Levanger, Norway.
FAU - Tritter, Jonathan Q
AU  - Tritter JQ
AD  - Department of Sociology and Policy, School of Languages and Social Sciences, 
      Aston University, Birmingham, UK.
FAU - Myklebust, Tor Age
AU  - Myklebust TA
AD  - Department of Research and Innovation, More og Romsdal Hospital Trust, Volda, 
      Norway.
FAU - Deilkas, Ellen T
AU  - Deilkas ET
AD  - Unit for Health Service Research, Akershus University Hospital, Lorenskog, 
      Norway.
FAU - Meirik, Kathinka
AU  - Meirik K
AD  - Department of Psychiatry, Levanger Hospital, Nord-Trondelag Hospital Trust, 
      Levanger, Norway.
FAU - Landstad, Bodil J
AU  - Landstad BJ
AD  - Department of Health Sciences, Mid Sweden University, Ostersund, Sweden.
AD  - Levanger Hospital, Nord-Trondelag Hospital Trust, Levanger, Norway.
LA  - eng
PT  - Journal Article
PL  - Netherlands
TA  - Int J Risk Saf Med
JT  - The International journal of risk & safety in medicine
JID - 9100907
SB  - IM
MH  - Adult
MH  - Cohort Studies
MH  - Drug-Related Side Effects and Adverse Reactions/*epidemiology
MH  - Female
MH  - Humans
MH  - Male
MH  - Medical Errors/*statistics & numerical data
MH  - Medical Records/*statistics & numerical data
MH  - Mental Disorders/diagnosis/*drug therapy
MH  - Norway
MH  - Outcome Assessment, Health Care
MH  - *Patient Safety
MH  - Retrospective Studies
MH  - Risk Assessment
OTO - NOTNLM
OT  - Adverse events
OT  - mental health
OT  - patient safety
OT  - precipitating factors
OT  - psychiatry
EDAT- 2019/09/29 06:00
MHDA- 2020/05/28 06:00
CRDT- 2019/09/29 06:00
PHST- 2019/09/29 06:00 [pubmed]
PHST- 2020/05/28 06:00 [medline]
PHST- 2019/09/29 06:00 [entrez]
AID - JRS190064 [pii]
AID - 10.3233/JRS-190064 [doi]
PST - ppublish
SO  - Int J Risk Saf Med. 2019;30(4):203-216. doi: 10.3233/JRS-190064.