Patient Safety Curriculum Module 8: Methods for Measuring ...

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Global Trigger Tool• The IHI Global Trigger Tool contains six “modules,” or groupings oftriggers. Four of the groupings are designed to reflect adverse eventsthat commonly occur in a particular unit; the Cares and Medicationgroupings are designed to reflect adverse events that can occuranywhere in the hospital. The six modules are:• Cares• Intensive Care• Medication• Surgical• Perinatal• Emergency Department• All patient records should be reviewed for the triggers in the Cares andMedication modules. The other modules should only be used ifapplicable; for example, the Intensive Care module should be usedwhen reviewing a record for a patient who spent any part of the hospitalstay in an intensive care unit.36NPSF Professional Learning Series
Global Trigger Tools – OutpatientSurgery ExampleTrigger NameEmergencyDepartment (ED)Re-AdmitProcedure (Proc)Length of stay(LOS)DescriptionED visits within 21 days of an outpatient surgery arelikely to include visits due to complications from surgeryHospital admissions within 30 days of an outpatientsurgery may be due to complications from surgeryReoperation within 30 days and certain procedures onthe same day as a scheduled same-day surgery areindicative that a complication may have occurredThere is a higher probability of complications in samedaysurgeries that result in longer-than-planned stays inthe hospital37NPSF Professional Learning Series
Page 1 and 2: NPSF Professional Learning Series p
Page 3 and 4: UsingPerformance MeasurementEffecti
Page 5 and 6: National Medicare Readmission Rate
Page 7 and 8: National Average for Heart Failure
Page 9 and 10: Institute of Medicine Six Aims• S
Page 11 and 12: HarmUnintended physical injury resu
Page 13 and 14: Commission vs. Omission• Harm mea
Page 15 and 16: Eliminating All Cause HarmNine area
Page 17 and 18: Health Affairs article, Classen et
Page 19 and 20: Health Affairs article, Classen et
Page 21 and 22: Mortality Rate Measurement Issues
Page 23 and 24: Hospital-Acquired Conditions(HACs)H
Page 25 and 26: Readmissions• Nearly 20% of Medic
Page 27 and 28: Core Measures• Core Measures is o
Page 29 and 30: Culture• “Safety culture” ref
Page 31 and 32: Hospital Survey on Patient SafetyCu
Page 33 and 34: Major Domains• Harm• Mortality
Page 35: Triggers: Assessing Harm• Use of
Page 39 and 40: ICU AdmissionYesNoPatients admitted
Page 41 and 42: Patient Experience SurveyHospital C
Page 43 and 44: HAI Prevention Plan 5-year Targets
Page 45 and 46: A Good Incident Report• Person af
Page 47 and 48: Patient Safety Indicators (PSIs)•
Page 49 and 50: Major Domains/Data SourceCollection
Page 51 and 52: Sample Strategic Quality MapStrateg

Patient Safety Curriculum Module 8: Methods for Measuring ...

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