Universität zu Köln

Broesterhaus, Mareen, Hammer, Antje ORCID: 0000-0002-2724-9901, Gruber, Rosalie, Kalina, Steffen, Grau, Stefan, Roeth, Anjali A., Ashmawy, Hany, Gross, Thomas, Binneboesel, Marcel, Knoefel, Wolfram Trudo and Manser, Tanja (2022). Using the Global Trigger Tool in surgical and neurosurgical patients: A feasibility study. PLoS One, 17 (8). SAN FRANCISCO: PUBLIC LIBRARY SCIENCE. ISSN 1932-6203

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Abstract

Background The Global Trigger Tool (GTT) has become a worldwide used method for estimating adverse events through a retrospective patient record review. However, little is known about the facilitators and the challenges in the GTT-implementation process. Thus, this study followed two aims: First, to apply a comprehensive set of feasibility criteria to qualitatively and systematically assess the GTT-implementation process in three departments of German university hospitals. Second, to identify the facilitators and the obstacles met in the GTT-implementation process and to derive recommendations for supporting other hospitals in implementing the GTT in clinical practice. Methods The study used a qualitative documentary method based on process documentation, with written and verbal feedback from the reviewer, as well as evaluating the study sites during the implementation process. The study was conducted in three departments, each in a different German university hospital. The authors applied a comprehensive set of 22 feasibility criteria assessing the level of challenge in GTT implementation. The results were synthesized and they focused on the facilitators and the challenges. Results Of these 22 feasibility criteria, nine were assessed as a low-level challenge, eleven regarded as a moderate-level challenge, and two with a problematic level of challenge. In particular, the lack of time and staff resources, the quality of the information in the patient records, organizational procedures, and local issues, posed major challenges in the implementation process. By contrast, the use of local coordinators and an external expert made important contributions to the GTT implementation. Conclusions Considering the facilitators and the obstacles beforehand may help with the implementation of the GTT in routine practice. In particular, early and effective planning can reduce or prevent critical challenges in terms of time, staff resources, and organizational aspects.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Broesterhaus, Mareen UNSPECIFIED UNSPECIFIED UNSPECIFIED Hammer, Antje UNSPECIFIED orcid.org/0000-0002-2724-9901 UNSPECIFIED Gruber, Rosalie 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 Binneboesel, Marcel UNSPECIFIED UNSPECIFIED UNSPECIFIED Knoefel, Wolfram Trudo UNSPECIFIED UNSPECIFIED UNSPECIFIED Manser, Tanja UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-686236
DOI:	10.1371/journal.pone.0272853
Journal or Publication Title:	PLoS One
Volume:	17
Number:	8
Date:	2022
Publisher:	PUBLIC LIBRARY SCIENCE
Place of Publication:	SAN FRANCISCO
ISSN:	1932-6203
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ADVERSE EVENTS; HOSPITALS Multiple languages Multidisciplinary Sciences Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/68623