Engvall Charlotte, Unbeck Maria, Stenmarker Margaretha, Ros Axel, Andersson Ann-Christine
Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden
Department of Pediatrics, Region Jönköping County, Jönköping, Sweden.
BMJ Open Qual. 2025 May 15;14(2):e003306. doi: 10.1136/bmjoq-2025-003306.
Trigger tools are widely used for detecting adverse events. Within the multicentre study Patient Safety in Paediatric Oncology, a trigger tool was created to address the unique needs of paediatric oncology. Although trigger tools are highly valued for detecting adverse events, concerns about their usability and reliability persist. Understanding the perspectives of medical record reviewers using these tools may provide valuable insights for improving their usability and reliability. This study aimed to explore the experiences of medical record reviewers involved in the development and use of a Paediatric Oncology Trigger Tool.
A descriptive qualitative case study was conducted to investigate the experiences of medical record reviewers participating in the development and use of the Paediatric Oncology Trigger Tool. Data were collected through a semi-structured focus group interview conducted via Zoom, involving six reviewers with varying levels of experience in paediatric oncology and trigger tool methodology. The interview was audio-recorded and transcribed verbatim. The written text was analysed in its entirety using reflexive thematic analysis.
The analysis revealed an overarching theme of with three themes: , and . The findings highlight the importance of collaborative learning, expert support and adequate resources, while also noting challenges such as time consumption and the emotional impact of reviewing medical records of critically ill children.
This study offers a comprehensive examination and clarity regarding the development and use of a patient safety instrument, a process marked by both challenges and facilitators from the perspective of medical record reviewers. The study underscores the need for resources, training and support during the review process to ensure the reliability and usefulness of the trigger tool.
触发工具被广泛用于检测不良事件。在多中心研究“儿科肿瘤学中的患者安全”中，创建了一种触发工具以满足儿科肿瘤学的独特需求。尽管触发工具在检测不良事件方面具有很高的价值，但对其可用性和可靠性的担忧依然存在。了解使用这些工具的病历审查人员的观点可能会为提高其可用性和可靠性提供有价值的见解。本研究旨在探讨参与儿科肿瘤学触发工具开发和使用的病历审查人员的经验。
进行了一项描述性定性案例研究，以调查参与儿科肿瘤学触发工具开发和使用的病历审查人员的经验。通过Zoom进行半结构化焦点小组访谈收集数据，访谈对象包括六名在儿科肿瘤学和触发工具方法方面经验不同的审查人员。访谈进行了录音并逐字转录。使用反思性主题分析对书面文本进行了整体分析。
分析揭示了一个总体主题，包含三个主题： 、 和 。研究结果突出了协作学习、专家支持和充足资源的重要性，同时也指出了诸如耗时以及审查重症儿童病历的情感影响等挑战。
本研究对一种患者安全工具的开发和使用进行了全面审视并予以明确，从病历审查人员的角度来看，这一过程既有挑战也有促进因素。该研究强调在审查过程中需要资源、培训和支持，以确保触发工具的可靠性和实用性。
