» Adverse Event Detection In Hospitalized Children: CAPHC – Paediatric Trigger Tool

The CAPHC Paediatric Trigger Tool (CPTT) is a patient safety improvement tool developed in collaboration with patient safety and quality improvement experts from across Canada.

The tool is available for download at no charge to all CAPHC member and nonmember organizations, for noncommercial use only.

Chart reviews can be eligible for MOC credits and fall within Section 5 – Personal Practice Review. The accredited cpd providers do not need to review this activity. The individual physician can choose to record their time spent on any type of practice review in this section.  There is also the option of choosing Section 4 which is Personal Learning Projects. These are learning plans developed from a question the physician may have such as learning a new procedure or process.  

Here is the link to the Maintenance of Certification (MOC) Program on the RCPSC website:
» http://rcpsc.medical.org/opa/moc-program/index.php

PURPOSE

We know that we cannot prevent all Adverse Events, but if we eliminate or mitigate the harm from those that are preventable, we will greatly increase the safety of our healthcare delivery.  In order to do so, however, we must first be able to identify these events, a process that has been hampered to date by the lack of an appropriate paediatric tool.  

Trigger Tools are considered to be sensitive and efficient strategies for detecting adverse events and have been widely used in adult studies such as the Baker GR, Norton PG, Flintoft V, Blais R, Brown A, Cox J, Etchells E, Ghali WA, Hebert P, Majumdar SR, O'Beirne M, Palacios-Derflingher L, Reid RJ, Sheps S, Tamblyn R. The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. CMAJ. 2004;170(11):1678-86. 

In CAPHC facilitated pilot work, 15% of hospitalized children were found to have adverse events, of which 60% were judged preventable. (Anne G Matlow, Catherine M G Cronin, Virginia Flintoft, Cheri Nijssen-Jordan, Mark Fleming, Barbara Brady-Fryer, Mary-Ann Hiltz, Elaine Orrbine, G Ross Baker; Description of the development and validation of the Canadian Paediatric Trigger Tool; BMJ Quality & Safety Online First, published on 17 January 2011 as 10.1136/bmjqs.2010.041152.)

The CPTT is now available to be used by acute care paediatric hospitals and community hospitals as a tool to promote quality improvement and safer care.

RESOURCES

References

Baker GR, Norton PG, Flintoft V, Blais R, Brown A, Cox J, Etchells E, Ghali WA, Hebert P, Majumdar SR, O'Beirne M, Palacios-Derflingher L, Reid RJ, Sheps S, Tamblyn R. The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. CMAJ. 2004;170(11):1678-86.

Classen DC, Lloyd RC, Provost L, Griffin, FA, Resar R.  Development and evaluation of the Institute for Healthcare Improvement Global Trigger Tool. Journal of Patient Safety 2008; 4: 169-177

Matlow A, Flintoft V, Orrbine E, Brady-Fryer B, Cronin CM, Nijssen-Jordan C, Fleming M, Hiltz MA, Lahey M, Zimmerman M, Baker GR. The development of the Canadian paediatric trigger tool for identifying potential adverse events.  Healthc Q. 2005;8 Spec No:90-3.

Adler L, Denham CR, McKeever M, Purinton R, Guilloteau F, Moorhead JD, Resar R.  Global Trigger Tool: Implementation Basics. Journal of Patient Safety 2008; 4:245-249.

EDUCATION

Before you use the tool - please take this online e-learning module to understand its function.
» e-Learning Module

» Implementation of the CPTT for Patient Safety and Quality Improvement (PPT)

DEMO

» Click here to to watch a quick video demonstration on the Trigger Tool.
» Click here to watch a quick video demonstration on the Physician Review.
» Click here to watch a quick video demonstration on Reporting.

If you have completed the education portion, you may test drive the tool now.
Please do not enter real patient data into the system.

Username: test@test.com  
Password: test

» Click here to try the Trigger Tool now.

DOWNLOAD

To download and install the CPTT at your site, please follow the links below.

» CPTT Install Guide
» Download CPTT

Questions may be directed to » Lisa Stromquist, CAPHC Patient Safety Liaison, 613-738-4164 ext 204