Using the Global Trigger Tool in surgical and neurosurgical patients: A feasibility study.

Autor: Brösterhaus M; Institute for Patient Safety, University Hospital Bonn, Bonn, Germany., Hammer A; Institute for Patient Safety, University Hospital Bonn, Bonn, Germany., Gruber R; Institute for Patient Safety, University Hospital Bonn, Bonn, Germany., Kalina S; Central Division Medical Synergies, University Hospital of Cologne, Cologne, Germany.; Department of Anesthesiology and Intensive Care Medicine, University Hospital of Cologne, Cologne, Germany., Grau S; Center of Neurosurgery, University Hospital of Cologne, Cologne, Germany., Roeth AA; Department of General, Visceral, and Transplantation Surgery, University Hospital Aachen, Aachen, Germany., Ashmawy H; Heinrich-Heine-Universität und Universitätsklinikum Düsseldorf, Duesseldorf, Germany., Groß T; Central Division Medical Synergies, University Hospital of Cologne, Cologne, Germany., Binnebösel M; Department of General, Visceral, and Transplantation Surgery, University Hospital Aachen, Aachen, Germany., Knoefel WT; Heinrich-Heine-Universität und Universitätsklinikum Düsseldorf, Duesseldorf, Germany., Manser T; FHNW School of Applied Psychology, University of Applied Sciences and Arts, Northwestern Switzerland, Olten, Switzerland.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2022 Aug 16; Vol. 17 (8), pp. e0272853. Date of Electronic Publication: 2022 Aug 16 (Print Publication: 2022).
DOI: 10.1371/journal.pone.0272853
Abstrakt: 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.
Competing Interests: The authors have declared that no competing interests exist.
Databáze: MEDLINE
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