CAPHC Paediatric Trigger Tool
Adverse Event Detection in Hospitalized Children
The CAPHC Paediatric Trigger Tool (CPTT) is a patient safety improvement tool developed in collaboration with patient safety and quality improvement experts from across Canada.
The tool is available for download at no charge to all CAPHC member and nonmember organizations, for noncommercial use only.
We know that we cannot prevent all Adverse Events, but if we eliminate or mitigate the harm from those that are preventable, we will greatly increase the safety of our healthcare delivery. In order to do so, however, we must first be able to identify these events, a process that has been hampered to date by the lack of an appropriate paediatric tool.
Trigger Tools are considered to be sensitive and efficient strategies for detecting adverse events and have been widely used in adult studies such as the Baker GR, Norton PG, Flintoft V, Blais R, Brown A, Cox J, Etchells E, Ghali WA, Hebert P, Majumdar SR, O'Beirne M, Palacios-Derflingher L, Reid RJ, Sheps S, Tamblyn R. The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. CMAJ. 2004;170(11):1678-86.
In CAPHC facilitated pilot work, 15% of hospitalized children were found to have adverse events, of which 60% were judged preventable. (Anne G Matlow, Catherine M G Cronin, Virginia Flintoft, Cheri Nijssen-Jordan, Mark Fleming, Barbara Brady-Fryer, Mary-Ann Hiltz, Elaine Orrbine, G Ross Baker; Description of the development and validation of the Canadian Paediatric Trigger Tool; BMJ Quality & Safety Online First, published on 17 January 2011 as 10.1136/bmjqs.2010.041152.)
The CPTT is now available to be used by acute care paediatric hospitals and community hospitals as a tool to promote quality improvement and safer care.
Baker GR, Norton PG, Flintoft V, Blais R, Brown A, Cox J, Etchells E, Ghali WA, Hebert P, Majumdar SR, O'Beirne M, Palacios-Derflingher L, Reid RJ, Sheps S, Tamblyn R. The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. CMAJ. 2004;170(11):1678-86.
Classen DC, Lloyd RC, Provost L, Griffin, FA, Resar R. Development and evaluation of the Institute for Healthcare Improvement Global Trigger Tool. Journal of Patient Safety 2008; 4: 169-177
Matlow A, Flintoft V, Orrbine E, Brady-Fryer B, Cronin CM, Nijssen-Jordan C, Fleming M, Hiltz MA, Lahey M, Zimmerman M, Baker GR. The development of the Canadian paediatric trigger tool for identifying potential adverse events. Healthc Q. 2005;8 Spec No:90-3.
Adler L, Denham CR, McKeever M, Purinton R, Guilloteau F, Moorhead JD, Resar R. Global Trigger Tool: Implementation Basics. Journal of Patient Safety 2008; 4:245-249.
Anne G. Matlow, MSc MD⇓, G. Ross Baker, PhD, Virginia Flintoft, BN MSc, Douglas Cochrane, MD, Maitreya Coffey, MD, Eyal Cohen, MD, Catherine M.G. Cronin, MD MBA, Rita Damignani, MSc BScPT, Robert Dubé, MD, Roger Galbraith, MD, Dawn Hartfield, MD, Leigh Anne Newhook, MD, Cheri Nijssen-Jordan, MD MBA. Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Study; CMAJ September 18, 2012 vol. 184 no. 13 E709-E718