PMID- 33215895
OWN - NLM
STAT- MEDLINE
DCOM- 20210222
LR  - 20221005
IS  - 1549-8425 (Electronic)
IS  - 1549-8417 (Print)
IS  - 1549-8417 (Linking)
VI  - 16
IP  - 4
DP  - 2020 Dec
TI  - Applying the Global Trigger Tool in German Hospitals: A Pilot in Surgery and 
      Neurosurgery.
PG  - e340-e351
LID - 10.1097/PTS.0000000000000576 [doi]
AB  - OBJECTIVE: The aim of the study was to assess the feasibility and potential of 
      the Global Trigger Tool (GTT) for identifying adverse events (AEs) in different 
      specialties in German hospitals. METHODS: A total of 120 patient records were 
      randomly selected from two surgical and one neurosurgery departments of three 
      university hospitals in Germany for a period of 2 months per department between 
      January and July 2017. The records were reviewed using an adaptation of the 
      German version of the Institute for Healthcare Improvement GTT. RESULTS: 
      Thirty-nine records (32.5%) contained at least one AE. A total of 53 AEs were 
      found in these 39 records. The incidences of AEs were 18.9% and 35.9% in the two 
      surgical departments and 45.3% in neurosurgery. This corresponded to AE rates of 
      25.5 to 72.1 per 1000 patient-days and from 25.0 to 60.0 per 100 admissions 
      across the three departments. A total of 71.7% of all identified AEs resulted in 
      temporary harm (category E), 26.4% in temporary harm, requiring prolonged 
      hospitalization (category F), and 1.9% in permanent patient harm. We also 
      identified practical challenges, such as the necessary adaptation of the GTT 
      relative to the respective department. CONCLUSIONS: The application of the GTT is 
      feasible and represents an effective instrument for quality measurement when 
      adapted to the departmental specifics. The trigger detection with the GTT is a 
      valuable addition for proactive analyses of high-risk processes.
FAU - Brosterhaus, Mareen
AU  - Brosterhaus M
AD  - From the Institute for Patient Safety, University Hospital Bonn, Bonn.
FAU - Hammer, Antje
AU  - Hammer A
AD  - From the Institute for Patient Safety, University Hospital Bonn, Bonn.
FAU - Kalina, Steffen
AU  - Kalina S
FAU - Grau, Stefan
AU  - Grau S
AD  - Center of Neurosurgery, University Hospital of Cologne, Cologne.
FAU - Roeth, Anjali A
AU  - Roeth AA
AD  - Department of General, Visceral and Transplantation Surgery, University Hospital 
      Aachen, Aachen.
FAU - Ashmawy, Hany
AU  - Ashmawy H
AD  - Heinrich-Heine-Universitat und Universitatsklinikum Dusseldorf, Chirurgische 
      Klinik (A), Duesseldorf, Germany.
FAU - Gross, Thomas
AU  - Gross T
AD  - Central Division Medical Synergies.
FAU - Binnebosel, Marcel
AU  - Binnebosel M
AD  - Department of General, Visceral and Transplantation Surgery, University Hospital 
      Aachen, Aachen.
FAU - Knoefel, Wolfram Trudo
AU  - Knoefel WT
AD  - Heinrich-Heine-Universitat und Universitatsklinikum Dusseldorf, Chirurgische 
      Klinik (A), Duesseldorf, Germany.
FAU - Manser, Tanja
AU  - Manser T
AD  - FHNW School of Applied Psychology, University of Applied Sciences and Arts 
      Northwestern Switzerland, Olten, Switzerland.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - J Patient Saf
JT  - Journal of patient safety
JID - 101233393
SB  - IM
MH  - Cross-Sectional Studies
MH  - General Surgery/*standards
MH  - Germany
MH  - Humans
MH  - Medical Errors/*statistics & numerical data
MH  - Neurosurgery/*methods
MH  - Patient Safety/*standards
MH  - Quality Indicators, Health Care/*standards
MH  - Retrospective Studies
MH  - Risk Management/*methods
PMC - PMC7678669
COIS- The authors disclose no conflict of interest.
EDAT- 2020/11/21 06:00
MHDA- 2021/02/23 06:00
PMCR- 2020/11/20
CRDT- 2020/11/20 09:29
PHST- 2020/11/20 09:29 [entrez]
PHST- 2020/11/21 06:00 [pubmed]
PHST- 2021/02/23 06:00 [medline]
PHST- 2020/11/20 00:00 [pmc-release]
AID - 01209203-202012000-00038 [pii]
AID - PTS50394 [pii]
AID - 10.1097/PTS.0000000000000576 [doi]
PST - ppublish
SO  - J Patient Saf. 2020 Dec;16(4):e340-e351. doi: 10.1097/PTS.0000000000000576.