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Adverse events
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Improving Pharmaceutical Service in the Primary Healthcare Sector Through the Training of Pharmacist Assistants
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Improvement Report
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Institute for Healthcare Improvement's Trigger Tools for Adverse Events
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Publications
As part of its 100,000 Lives Saved and 5 Millions Lives Saved Campaigns, the Institute for Healthcare Improvement has collaborated with hospitals around the United States to develop methods for identifying adverse events through the use of "triggers," or clues detected in medical record review. Several Trigger Tools are available on IHI.org, including:· IHI Global Trigger Tool for Measuring Adverse Events [White Paper]· Trigger Tool for Measuring Adverse Drug Events· Trigger Tool for Measuring Adverse Drug Events in a Mental Health Setting· Trigger Tool for Measuring Adverse Drug Events in the Nursing Home· Surgical Trigger Tool for Measuring Peri-operative Adverse Events· Intensive Care Unit Adverse Event Trigger Tool· Trigger Tool for Measuring Adverse Events in the Neonatal Intensive Care Unit· Outpatient Adverse Event Trigger ToolThese tools may be downloaded without charge from the IHI web site. Users must first register with the IHI site; registration is free. Once logged on to the IHI web site,The IHI Global Trigger Tools for Measuring Adverse Events can be downloaded free of charge at: http://www.ihi.org/IHI/Topics/PatientSafety/SafetyGeneral/Tools/IntrotoTriggerToolsforIdentifyingAEs.htm.
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How-to Guide Pediatric Supplement: Adverse Drug Events
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Publications
Adverse Drug Events (ADEs) have been defined by the Institute for Healthcare Improvement (IHI) as "an injury, large or small, caused by the use of a drug." The use of “triggers,” or clues, to identify ADEs has been shown to be an effective method for measuring the overall level of harm from medication errors among adult hospital populations. As part of the IHI Saving 100K Lives Campaign, twelve U.S. children’s hospitals, convened through the Child Health Corporation of America (CHCA), adapted IHI's adult ADE trigger tool for pediatric patients.
The National Initiative for Children’s Healthcare Quality (NICHQ), a partner in IHI's Saving 5 Million Lives Campaign, has supported the organization of The Pediatric Affinity Group, a partnership of four organizations, working with leading U.S. hospitals, to create tools to provide adapt IHI's How-to-Guides for patient safety to children's health care. The NICHQ web site features this guide to help hospitals prevent medication errors in children. The pediatric ADE How-to-Guide includes the Pediatric Adverse Drug Event Trigger Toolkit developed by CHCA, along with example standard order sets, a sample script to standardize the collection of pediatric patient allergy information, and "20 tips to help prevent medical errors in children."
