PMID- 33509727
OWN - NLM
STAT- MEDLINE
DCOM- 20211028
LR  - 20211028
IS  - 2603-6479 (Electronic)
IS  - 2603-6479 (Linking)
VI  - 36
IP  - 2
DP  - 2021 Mar-Apr
TI  - Does Skilled Nursing Facility Trigger Tool used with Global Trigger Tool increase 
      its value for adverse events evaluation?
PG  - 75-80
LID - S2603-6479(20)30131-7 [pii]
LID - 10.1016/j.jhqr.2020.08.004 [doi]
AB  - OBJECTIVE: To assess the additional value in the evaluation of incidents and 
      adverse events by adding the IHI Skilled Nursing Facility Trigger Tool (SNFTT) to 
      the Institute for Healthcare Improvement's Global Trigger Tool (GTT) in an acute 
      geriatric hospital. MATERIAL AND METHODS: A one-year retrospective study 
      reviewing 240 electronic clinical records using the general GTT, either alone or 
      combined with SNFTT. MAIN OUTCOME MEASURES: Number of triggers and identified 
      adverse events (AEs), categories of severity and preventability of AEs, GTT 
      incidence rates, and the number needed to alert (NNA). RESULTS: One hundred and 
      thirty-seven AEs were identified in 107 patients (57.1 AEs per 100 admissions). 
      Of these, 127 (92.7%) occurred 3 or more days after admissions; 49.6% of the harm 
      events were preventable. The NNA for GTT plus SNFTT was 8.6. No significant 
      difference was found using the general GTT alone versus the general GTT plus 
      SNFTT in terms of the main outcome measures. Eleven categories of triggers were 
      better identified when using GTT plus SNFTT because with GTT alone they were 
      allocated to a category of "Other": 9 from the care module (C15) and 2 from the 
      medication module (M13). CONCLUSIONS: The study demonstrates that adding the 
      SNFTT to the GTT did not increase its effectiveness as regards the evaluation of 
      AEs. However, some triggers are better described in SNFTT and now have now been 
      added into the general GTT method in our hospital.
CI  - Copyright (c) 2020 FECA. Publicado por Elsevier Espana, S.L.U. All rights reserved.
FAU - Menendez-Fraga, M D
AU  - Menendez-Fraga MD
AD  - Servicio de Calidad y Seguridad de Pacientes, Hospital Monte Naranco, Oviedo, 
      Asturias, Spain; Grupo de Microbiologia Translacional, Instituto de Investigacion 
      Sanitaria del Principado de Asturias (ISPA), Oviedo, Asturias, Spain. Electronic 
      address: mariadol.menendez@gmail.com.
FAU - Alonso, J
AU  - Alonso J
AD  - Unidad de Gestion y Registro de Formacion Area Sanitaria IV, Oviedo, Asturias, 
      Spain.
FAU - Cimadevilla, B
AU  - Cimadevilla B
AD  - Area de Gestion Clinica de Geriatria (AGCG), Hospital Monte Naranco, Oviedo, 
      Asturias, Spain.
FAU - Cueto, B
AU  - Cueto B
AD  - Area de Gestion Clinica de Geriatria (AGCG), Hospital Monte Naranco, Oviedo, 
      Asturias, Spain.
FAU - Vazquez, F
AU  - Vazquez F
AD  - Grupo de Microbiologia Translacional, Instituto de Investigacion Sanitaria del 
      Principado de Asturias (ISPA), Oviedo, Asturias, Spain; Servicio de 
      Microbiologia, Hospital Universitario Central de Asturias, Oviedo, Asturias, 
      Spain; Departamento de Biologia Funcional, Area de Microbiologia, Facultad de 
      Medicina, Universidad de Oviedo, Asturias, Spain; Grupo de Estudio de Infecciones 
      de Transmision Sexual (GEITS), Sociedad Espanola de Enfermedades Infecciosas y 
      Microbiologia Clinica (SEIMC), Spain; Instituto Universitario Fernandez Vega 
      (IUFV) y Fundacion de Investigacion Oftalmologica (FIO), Oviedo, Asturias, Spain.
LA  - eng
PT  - Journal Article
DEP - 20210126
PL  - Spain
TA  - J Healthc Qual Res
JT  - Journal of healthcare quality research
JID - 101735273
SB  - IM
MH  - Aged
MH  - Humans
MH  - *Patient Safety
MH  - Quality Indicators, Health Care
MH  - Retrospective Studies
MH  - *Skilled Nursing Facilities
OTO - NOTNLM
OT  - Adverse events
OT  - Atencion sanitaria
OT  - Episodios adversos
OT  - Geriatrics
OT  - Geriatria
OT  - Global Trigger Tool
OT  - Global trigger tool
OT  - Healthcare
OT  - Patient safety
OT  - Seguridad del paciente
OT  - Skilled Nursing Facility Trigger Tool
EDAT- 2021/01/30 06:00
MHDA- 2021/10/29 06:00
CRDT- 2021/01/29 05:46
PHST- 2020/05/20 00:00 [received]
PHST- 2020/07/29 00:00 [revised]
PHST- 2020/08/20 00:00 [accepted]
PHST- 2021/01/30 06:00 [pubmed]
PHST- 2021/10/29 06:00 [medline]
PHST- 2021/01/29 05:46 [entrez]
AID - S2603-6479(20)30131-7 [pii]
AID - 10.1016/j.jhqr.2020.08.004 [doi]
PST - ppublish
SO  - J Healthc Qual Res. 2021 Mar-Apr;36(2):75-80. doi: 10.1016/j.jhqr.2020.08.004. 
      Epub 2021 Jan 26.