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Trigger Tools
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The use of “triggers,” or clues, is an effective method for detecting and preventing adverse events that result in harm to pediatric patients. Many children’s hospitals have successfully implemented trigger tools to evaluate safety processes and improve patient outcomes.
Pediatric Adverse Drug Events (ADE) Trigger Tool
Detect and Prevent Harm from Medications
Adapted from proven adult trigger tools, the Pediatric ADE Trigger Tool provides a powerful yet simple method to detect medication-related harm in pediatric inpatients. The related Trigger Toolkit available below can help hospitals implement medication system changes to ensure fewer drug-related injuries.
The toolkit includes triggers CHCA hospitals have found most useful during chart reviews to identify ADEs, measure the level of harm from each ADE and identify areas for improvement.
Available for Download:
Pediatric ADE Trigger Toolkit
Pediatrics Article: Development, Testing, and Findings of a Pediatric-Focused Trigger Tool to Identify Medication-Related Harm in US Children's Hospitals
Takata GS, Mason W, Taketomo C, Logsdon T and Sharek PJ. Development, Testing, and Findings of a Pediatric-Focused Trigger Tool to Identify Medication-Related Harm in US Children's Hospitals. Pediatrics 2008;121:927-935.
This Pediatric ADE Trigger Toolkit contains:
Background
Definitions
Sampling and Methods for Conducting Trigger Chart Review
List of ADE Triggers
Frequently Asked Questions
Data collection forms
Randomization instructions
Contact:
Tina Logsdon, Child Health Corporation of America
913.262.1436
tina.logsdon@chca.com
Neonatal Intensive Care Unit (NICU) Trigger Tool
Detect and Prevent Adverse Events in Fragile Neonates
The NICU Trigger Tool is the nation’s first diagnostic tool to identify medication and non-medication related adverse events in the neonatal intensive care unit (NICU). This tool will help children’s hospitals identify and apply improvement methods that proactively address adverse events within this fragile patient population before harm occurs. A collaborative effort between CHCA and the Vermont Oxford Network (VON), the NICU Trigger Toolkit includes a list of potential triggers and instructions for collecting the data needed to measure the rate of adverse events (AEs) and adverse drug events (ADEs) in the NICU.
Available for Download:
NICU Trigger Toolkit
Pediatrics Article: Adverse Events in the Neonatal Intensive Care Unit: Development, Testing, and Findings of a NICU-focused Trigger Tool to Identify Harm in North American NICUs
Sharek PJ, Horbar JG, Mason W, et al. Adverse Events in the Neonatal Intensive Care Unit: Development, Testing, and Findings of a NICU-focused Trigger Tool to Identify Harm in North American NICUs. Pediatrics 2006;118:1332-1340.
This NICU Trigger Toolkit contains:
Background
Definitions
Sampling and Methods for Conducting Trigger Chart Review
List of AE Triggers
FAQs about the trigger reviews
Data collection form- Individual Patient NICU Triggers Data Collection Form.
Data collection form- NICU AE monthly summary sheet
Contact:
Hema Bisarya, Child Health Corporation of America
913.262.1436
hema.bisarya@chca.com
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