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Use of the Global Trigger Tool in patient safety improvement efforts: Nordic experiences
National Institute Health and Welf, Finland.
Svaar Konsult, Norway.
Danish Soc Patient Safety, Denmark.
Akershus University Hospital, Norway; Norwegian Directorate Heatlh, Norway.
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2015 (English)In: Cognition, Technology & Work, ISSN 1435-5558, E-ISSN 1435-5566, Vol. 17, no 1, 45-54 p.Article in journal (Refereed) Published
Abstract [en]

The Global Trigger Tool (GTT) developed by the Institute for Healthcare Improvement is a method for retrospective patient record review based on the use of triggers-signals of potential adverse events that have caused patient harm. The method has the purpose of patient safety measurement and monitoring among adult inpatient populations and has been increasingly popular among Nordic countries. Use of the GTT in the Nordic area has been part of broader legal and policy actions and initiatives supportive of patient safety promotion and is being used to establish also national level estimates of patient safety incidents. Limitations of the method are its dependency on quality of documentation and the varying inter-rater reliability observed in many studies. Strengths of the GTT are its ability to detect larger numbers, as well as different types of adverse events when compared to other incident detection methods, hence it is a good addition to the palette of means for organizational patient safety monitoring. Research on reliability, usefulness and implementation approaches of the GTT, including its automation, is ongoing in the Nordic countries and is expected to generate useful input for the international patient safety community.

Place, publisher, year, edition, pages
Springer Verlag (Germany) , 2015. Vol. 17, no 1, 45-54 p.
Keyword [en]
Patient safety monitoring; Hospitals; Global Trigger Tool; Electronic patient record; Nordic countries
National Category
Health Sciences
URN: urn:nbn:se:liu:diva-114982DOI: 10.1007/s10111-014-0302-2ISI: 000348933500005OAI: diva2:794131
Available from: 2015-03-10 Created: 2015-03-06 Last updated: 2015-03-25

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Ruthberg, Hans
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Division of Health Care AnalysisFaculty of Health SciencesDepartment of Thoracic and Vascular Surgery
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