A mixed methods study to effectively utilize trigger tools in the ICU
Alyssa Lip1, Henry T Stelfox2, Selena Au3
1Department of Medicine, University of Calgary, Calgary, Alberta, Canada.
This study developed a consensus-based trigger tool for intensive care units (ICUs) to identify adverse events and improve patient care quality. The tool aids in pinpointing areas for enhancement in local healthcare practices.
Area of Science:
- Critical Care Medicine
- Healthcare Quality Improvement
Background:
- Intensive care units (ICUs) require robust systems for quality improvement.
- Identifying adverse events is crucial for enhancing patient outcomes and care processes.
Purpose of the Study:
- To develop a specialized trigger tool for intensive care units (ICUs).
- To support departmental quality improvement initiatives within ICUs.
Main Methods:
- A comprehensive literature review identified initial triggers.
- A modified Delphi method with an expert panel refined the trigger list.
- Triggers were ranked based on sensitivity to harm and specificity for suboptimal processes.
Main Results:
- The literature search yielded 59 potential triggers from 10 articles.
- A consensus process resulted in 12 validated triggers.
- Included triggers cover clinical, infection, medication, and procedural events.
Conclusions:
- The modified Delphi process successfully derived consensus-selected triggers for ICUs.
- This trigger tool aids in identifying adverse events and opportunities for local care improvement.
- The methodology is adaptable for other centers developing tailored trigger tools.
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