Universität zu Köln

Brosterhaus, Mareen, Hammer, Antje, Kalina, Steffen, Grau, Stefan, Roeth, Anjali A., Ashmawy, Hany, Gross, Thomas, Binnebosel, Marcel, Knoefel, Wolfram Trudo and Manser, Tanja (2020). Applying the Global Trigger Tool in German Hospitals: A Pilot in Surgery and Neurosurgery. J. Patient Saf., 16 (4). S. E340 - 12. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS. ISSN 1549-8425

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Abstract

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.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Brosterhaus, Mareen UNSPECIFIED UNSPECIFIED UNSPECIFIED Hammer, Antje UNSPECIFIED UNSPECIFIED UNSPECIFIED Kalina, Steffen UNSPECIFIED UNSPECIFIED UNSPECIFIED Grau, Stefan UNSPECIFIED UNSPECIFIED UNSPECIFIED Roeth, Anjali A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Ashmawy, Hany UNSPECIFIED UNSPECIFIED UNSPECIFIED Gross, Thomas UNSPECIFIED UNSPECIFIED UNSPECIFIED Binnebosel, Marcel UNSPECIFIED UNSPECIFIED UNSPECIFIED Knoefel, Wolfram Trudo UNSPECIFIED UNSPECIFIED UNSPECIFIED Manser, Tanja UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-310092
DOI:	10.1097/PTS.0000000000000576
Journal or Publication Title:	J. Patient Saf.
Volume:	16
Number:	4
Page Range:	S. E340 - 12
Date:	2020
Publisher:	LIPPINCOTT WILLIAMS & WILKINS
Place of Publication:	PHILADELPHIA
ISSN:	1549-8425
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language Health Care Sciences & Services; Health Policy & Services Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/31009