An Electronic Health Record–Based Real-Time Analytics Program For Patient Safety Surveillance And Improvement

Classen, David C.; Li, Michael; Miller, Suzanne; Ladner, Drew

doi:10.1377/hlthaff.2018.0728

Cited by 42 publications

(38 citation statements)

References 17 publications

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“…Much progress has been achieved over the past 20 years. Embracing the understanding of systems rather than a linear model of safety and improvement, allied with the potential of health informatics and technology,40 will be critical if we are to move paediatric safety to the next level.…”

Section: Resultsmentioning

confidence: 99%

Reclaiming the systems approach to paediatric safety

2019

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Section: Resultsmentioning

confidence: 99%

Reclaiming the systems approach to paediatric safety

2019

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“…These methods can be fundamental instruments in PS if these incidents and AE are communicated and analyzed. 13 However, the literature shows that most incidents are not reported by health professionals, 14 with underreporting 15 since only 10-20% of the AEs are reported. [16][17][18] Likewise, the codification of clinical processes is affected by the quality of the records made by health professionals, 17,18 and thus the analysis of AEs becomes insufficient.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, health institutions must know the reality to provide high-quality care, learning from their mistakes and implementing valid, sensitive, cost-effective, and easy-touse instruments and protocols 2,13,19 that can provide useful and reliable real-time data. 12,14,20,21 The Institute for Healthcare Improvement (IHI) developed the Global Trigger Tool (GTT-IHI), 22 which showed international promise in identifying and quantifying patient harm severity, consequently decreasing the occurrence of AE. 21,23,24 In Portugal, a hospital institution used this tool for risk management, and the Portuguese Association for Hospital Development (Associação Portuguesa de Desenvolvimento Hospitalar -APDH) promotes it in training sessions aimed at professionals from various health units in the country.…”

Section: Introductionmentioning

confidence: 99%

<p>Translation, Cross-Cultural Adaptation, and Measurement Properties of the Portuguese Version of the Global Trigger Tool for Adverse Events</p>

Pierdevara¹,

Pórcel‐Gálvez²,

Silva³

et al. 2020

TCRM

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Purpose: To adapt and validate the Global Trigger Tool (IHI-GTT), which identifies and analyzes adverse events (AE) in hospitalized patients and their measurement properties in the Portuguese context. Methods: A retrospective cross-sectional study was based on a random sample of 90 medical records. The stages of translation and cross-cultural adaptation of the IHI-GTT were based on the Cross-Cultural Adaptation Protocol that originated from the Portuguese version, GTT-PT, for the hospital context in medical-surgical departments. Internal consistency, reliability, reproducibility, diagnostic tests, and discriminatory predictive value were investigated. Results: The final phase of the GTT-PT showed insignificant inconsistencies. The pre-test phase confirmed translation accuracy, easy administration, effectiveness in identifying AEs, and relevance of integrating it into hospital risk management. It had a sensitivity of 97.8% and specificity of 74.8%, with a cutoff point of 0.5, an accuracy of 83%, and a positive predictive value of 69.8% and a negative predictive value of 0.98%. Conclusion: The GTT-PT is a reliable, accurate, and valid tool to identify AE, with robust measurement properties.

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“…To enhance the yield of record reviews, e-triggers can be developed to alert personnel to potential patient safety events and enable targeted review of high-risk patients [35]. The Institute for Healthcare Improvement's Global Trigger Tools [79], which include both manual and electronic trigger tools to detect inpatient events [80][81][82], are widely used but were not specifically designed to detect diagnostic errors. More targeted e-triggers for diagnostic safety measurement and monitoring can be developed and integrated within existing patient safety surveillance systems in the future and may enhance the yield of record reviews [46,[83][84][85][86].…”

Section: Learning From Existing Large Datasetsmentioning

confidence: 99%

Operational measurement of diagnostic safety: state of the science

2020

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Reducing the incidence of diagnostic errors is increasingly a priority for government, professional, and philanthropic organizations. Several obstacles to measurement of diagnostic safety have hampered progress toward this goal. Although a coordinated national strategy to measure diagnostic safety remains an aspirational goal, recent research has yielded practical guidance for healthcare organizations to start using measurement to enhance diagnostic safety. This paper, concurrently published as an Issue Brief by the Agency for Healthcare Research and Quality, issues a “call to action” for healthcare organizations to begin measurement efforts using data sources currently available to them. Our aims are to outline the state of the science and provide practical recommendations for organizations to start identifying and learning from diagnostic errors. Whether by strategically leveraging current resources or building additional capacity for data gathering, nearly all organizations can begin their journeys to measure and reduce preventable diagnostic harm.

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An Electronic Health Record–Based Real-Time Analytics Program For Patient Safety Surveillance And Improvement

Cited by 42 publications

References 17 publications

Reclaiming the systems approach to paediatric safety

Reclaiming the systems approach to paediatric safety

<p>Translation, Cross-Cultural Adaptation, and Measurement Properties of the Portuguese Version of the Global Trigger Tool for Adverse Events</p>

Operational measurement of diagnostic safety: state of the science

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