Doupi Persephone
Information Department, National Institute for Health and Welfare, Helsinki, Finland.
Stud Health Technol Inform. 2012;180:786-90.
Trigger tools, both paper and automated, have been viewed as a promising technology for patient record content analysis and identification of patient safety adverse events. The requirements and potential barriers for implementation of each line of tools have been explored by means of a literature review focusing on two interconnected subject areas: the Institute of Healthcare Improvement's paper-based Global Trigger Tool, which is currently taken up by several national level patient safety programs, and automated trigger tools, because of their increased feasibility as electronic health record (EHR) adoption grows. This paper provides an overview of the existing evidence on the strengths and weaknesses of each approach, and discusses the implications of the findings from the perspectives of healthcare organizations' management and staff, and from the viewpoint of demands on EHR systems.
无论是纸质还是自动化的触发工具，都被视为用于患者记录内容分析和识别患者安全不良事件的一项有前景的技术。通过聚焦两个相互关联的主题领域的文献综述，探讨了实施每类工具的要求和潜在障碍：医疗保健改进研究所的纸质全球触发工具（目前已被多个国家级患者安全项目采用）以及自动化触发工具（鉴于随着电子健康记录（EHR）采用率的提高其可行性也相应增加）。本文概述了关于每种方法优缺点的现有证据，并从医疗保健组织的管理层和员工角度以及对电子健康记录系统的需求角度讨论了研究结果的影响。
