The Adverse Event Monitoring and Tracking Tool
compatible with IHI Global Trigger Tool Methodology, detects hidden adverse events or harms and automates the reporting process through database management and randomized reports. The tool enables hospitals to increase patient safety, reduce readmissions & length of stay by monitoring safety, influencing better practices, and improving reliability.
The Adverse Event Monitoring and Tracking Tool, compatible with IHI Global Trigger Tool Methodology, Includes:
- In-depth Training Manual
- Adverse Event Monitoring and Tracking Guidelines
- Comprehensive and Adaptable Forms
- Record Randomizer
- Report Generator
- Templates for Database
- Training and Program Overview Presentations
- Standard Operation Procedures, Process flow Algorithms
- Supporting Articles, Resources and References
- One Hour consultative Call or Webinar with Solution Champion
Adventist Health System's Adverse Event Monitoring and Tracking Tool is compatible with IHI Global Trigger Tool Methodology. The Solution detects hidden adverse events or harms and automates the reporting process through database management and randomized reports. The tool enables hospitals to increase patient safety, reduce readmissions & length of stay by monitoring safety, influencing better practices, and improving reliability.
Below you will find a series of questions and answers that will guide you through the objectives, implementation, outcomes and lessons of Adventist Health System's Adverse Event Monitoring and Tracking Tool.
The Adverse Event Monitoring and Tracking Tool represents a collection of items to help implement IHI GTT methodology for tracking adverse events in a hospital system. This Solution is currently in-use at Adventist Health System, including the world-recognized Florida Hospital.
How are the components of the Adverse Event Monitoring and Tracking Tool used?
The Adverse Event Monitoring and Tracking Tool can be used to prepare, educate, train and manage the entire Adverse Event Monitoring and Tracking project. Included templates are provided as a foundation for facilities to customize the materials for their unique requirements. The manual is divided into sections, each containing the forms, tools or documents needed for the different stages of Adverse Event Monitoring and Tracking management and implementation. A complete guidebook is included in the first section of the manual to navigate the user though the process.
Records are retrieved and randomized to obtain 20 records per month for a facility. Two analyst reviewers review records to find harms, as defined by the IHI, using the Monitoring and Tracking worksheets. Once harms are identified the two analysts meet to find consensus and summarize the findings to present to a physician who authenticates the adverse event. Findings are inputted to the database. Reports are generated quarterly and reported to the facility.
What problems or objectives does this Solution address?
The Adverse Event Monitoring and Tracking Tool provides materials for development, deployment and management of IHI Global Trigger Tool for Measuring Adverse Events methodology.
How was the Solution developed?
The Solution materials were created with input from a number of clinicians involved in our large multi-institutional health care system. The materials have been utilized and modified by the Adventist Health System Adverse Event Monitoring and Tracking nurse analysts and its medical director. The guidelines were created in-house to aid the nurse reviewers.
What does it take to implement? Maintain?
The Adverse Event Monitoring and Tracking Tool requires long-term commitment to implement and deploy. A minimum of 4 weeks in needed to train reviewers and initiate record reviews. A minimum of 12 months of data collection is recommended before reports are generated. The Solution materials provide an initial foundation. The ongoing data results need leadership champions combined with ongoing data monitoring.
Were there any organizational considerations?
Adventist Health System adopted the IHI Global Trigger Tool for Measuring Adverse Events as their primary methodology to measure harms occurring in our facilities. The data is collected and reported quarterly so that trends can be evaluated. Individual facilities participate in collaborative projects to effect change.
Which Benchmark/Pertinent Metrics are recommended to use with this Solution?
Benchmarks are based on individual institutions own measures. The Adverse Event Monitoring and Tracking Tool measures severity, frequency and type of adverse events experienced by the patient. These are further qualified as occurring within the institution or present on patient admission.
What is the best way to measure Solution success?
The Adventist Health System implemented several initiatives and multi-institutional collaborative to effect change. The data is added quarterly to facilities safety dashboards as part of their core measure for improvement.
What are the key elements needed to SUSTAIN this Solution?
The materials provide an initial solid foundation. The ongoing enthusiasm of clinician champions combined with ongoing data monitoring and results reporting are critical to sustaining the Solution.