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

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, t...

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Autores principales: Brösterhaus, Mareen, Hammer, Antje, Gruber, Rosalie, Kalina, Steffen, Grau, Stefan, Roeth, Anjali A., Ashmawy, Hany, Groß, Thomas, Binnebösel, Marcel, Knoefel, Wolfram Trudo, Manser, Tanja
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9380916/
https://www.ncbi.nlm.nih.gov/pubmed/35972977
http://dx.doi.org/10.1371/journal.pone.0272853
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author Brösterhaus, Mareen
Hammer, Antje
Gruber, Rosalie
Kalina, Steffen
Grau, Stefan
Roeth, Anjali A.
Ashmawy, Hany
Groß, Thomas
Binnebösel, Marcel
Knoefel, Wolfram Trudo
Manser, Tanja
author_facet Brösterhaus, Mareen
Hammer, Antje
Gruber, Rosalie
Kalina, Steffen
Grau, Stefan
Roeth, Anjali A.
Ashmawy, Hany
Groß, Thomas
Binnebösel, Marcel
Knoefel, Wolfram Trudo
Manser, Tanja
author_sort Brösterhaus, Mareen
collection PubMed
description 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.
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spelling pubmed-93809162022-08-17 Using the Global Trigger Tool in surgical and neurosurgical patients: A feasibility study Brösterhaus, Mareen Hammer, Antje Gruber, Rosalie Kalina, Steffen Grau, Stefan Roeth, Anjali A. Ashmawy, Hany Groß, Thomas Binnebösel, Marcel Knoefel, Wolfram Trudo Manser, Tanja PLoS One Research Article 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. Public Library of Science 2022-08-16 /pmc/articles/PMC9380916/ /pubmed/35972977 http://dx.doi.org/10.1371/journal.pone.0272853 Text en © 2022 Brösterhaus et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Brösterhaus, Mareen
Hammer, Antje
Gruber, Rosalie
Kalina, Steffen
Grau, Stefan
Roeth, Anjali A.
Ashmawy, Hany
Groß, Thomas
Binnebösel, Marcel
Knoefel, Wolfram Trudo
Manser, Tanja
Using the Global Trigger Tool in surgical and neurosurgical patients: A feasibility study
title Using the Global Trigger Tool in surgical and neurosurgical patients: A feasibility study
title_full Using the Global Trigger Tool in surgical and neurosurgical patients: A feasibility study
title_fullStr Using the Global Trigger Tool in surgical and neurosurgical patients: A feasibility study
title_full_unstemmed Using the Global Trigger Tool in surgical and neurosurgical patients: A feasibility study
title_short Using the Global Trigger Tool in surgical and neurosurgical patients: A feasibility study
title_sort using the global trigger tool in surgical and neurosurgical patients: a feasibility study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9380916/
https://www.ncbi.nlm.nih.gov/pubmed/35972977
http://dx.doi.org/10.1371/journal.pone.0272853
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