+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Screening electronic patient records to detect preventable harm: a trigger tool for primary care

Screening electronic patient records to detect preventable harm: a trigger tool for primary care

Quality in Primary Care 19(2): 115-125

Minimising the risk of preventable harm to patients is a National Health Service (NHS) priority in the UK. In the past decade, a patient safety agenda has been established in many secondary care, but is only now migrating to primary care. Information about the epidemiology of error, contributory factors and the scale of preventable harm is limited in comparison to what is known in acute hospitals. We describe how to apply a recently developed trigger tool - a rapid audit method of screening electronic patient records to detect patient harm - as a feasible part of routine primary care practice. We promote the idea that the trigger tool approach will enable care teams and clinicians to refocus their learning and improvement efforts on one of the most serious issues facing the NHS or any modern healthcare system - how to minimise the risks of unintended but avoidable harm to patients.

(PDF emailed within 1 workday: $29.90)

Accession: 055670631

Download citation: RISBibTeXText

PMID: 21575334

Related references

The preliminary development and testing of a global trigger tool to detect error and patient harm in primary-care records. Postgraduate Medical Journal 85(1002): 176-180, 2009

The Accuracy of Trigger Tools to Detect Preventable Adverse Events in Primary Care: A Systematic Review. Journal of the American Board of Family Medicine 31(1): 113-125, 2018

A computerized version of the Patient Health Questionnaire-4 as an ultra-brief screening tool to detect emotional disorders in primary care. Journal of Affective Disorders 234: 247-255, 2018

A trigger tool to detect harm in pediatric inpatient settings. Pediatrics 135(6): 1036-1042, 2015

Applying preventable drug-related morbidity indicators to the electronic patient record in UK primary care: methodological development. Journal of Clinical Pharmacy and Therapeutics 31(3): 223-229, 2006

Electronic Medical Records and Depression Screening in Primary Care. Primary Care Companion to the Journal of Clinical Psychiatry 5(4): 186, 2004

An electronic trigger based on care escalation to identify preventable adverse events in hospitalised patients. Bmj Quality and Safety 27(3): 241-246, 2017

Electronic patient records as a tool to facilitate care provision in nursing homes: an integrative review. Informatics for Health and Social Care 2018: 1-16, 2018

Use of electronic health records for automated screening of growth disorders in primary care. JAMA 310(10): 1071-1072, 2013

Peak expiratory flow as a screening tool to detect airflow obstruction in a primary health care setting. International Journal of Tuberculosis and Lung Disease 16(5): 674-680, 2012

Accuracy and completeness of electronic patient records in primary care. Family Practice 25(4): 213-214, 2008

Electronic patient records in primary care: study has serious flaw. Bmj 327(7415): 622; Author Reply 622, 2003

Alerts in electronic medical records in primary care to promote colorectal cancer screening. British Journal of General Practice 66(651): 513, 2017

Patient experiences at primary care practices using electronic health records. Journal of Medical Practice Management 28(3): 169-176, 2013

Global quality indicators for primary care Electronic Patient Records. Studies in Health Technology and Informatics 186: 66-70, 2013