for Measuring Adverse Events

IHI Global Trigger Toolfor Measuring Adverse EventsSecond Edition13 Innovation Series 2009 Copyright 2009 Institute for Healthcare ImprovementAll rights reserved. Individuals may photocopy these materials for educational, not-for-profit uses, provided that the contents are not altered in any way and that proper attribution is given to IHI as the source of the content. These materials may not be reproduced for commercial, for-profit use in any form or by any means, or republished under any circumstances, without the written permission of the Institute for Healthcare name Global Trigger Tool is a common law trademark of the Institute for Healthcare to cite this paper:Griffin FA, Resar RK. IHI Global Trigger Tool for Measuring Adverse Events (Second Edition). IHII nnovation Series white paper. Cambridge, Massachusetts: Institute for Healthcare Improvement; 2009.(Available on )Acknowledgements:The Institute for Healthcare Improvement (IHI) would like to thank the following individuals for their contributions to the work:David Classen, MD, MS, Senior Partner and Chief Medical Officer, Computer Sciences Corporation Frank A.

1 Innovation Series: IHI Global Trigger Tool for Measuring Adverse Events (Second Edition) Executive Summary Traditional efforts to detect adverse events have focused on voluntary reporting and tracking of errors. However, public health researchers have established that only 10 to 20 percent of errors

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