Report from a national medical record review using the Global Trigger Tool 2013
Report
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This report describes how medical record review with Global Trigger Tool has been conducted nationally under the auspices of the national patient safety campaign.
Key message
This report presents the fourth national medical record review conducted according to the
Global Trigger Tool (GTT) procedure in Norway. The review has been coordinated by the
national patient safety campaign and subsequent programme In Safe Hands 24-7,that has
prepared and coordinated clinical and organizational measures designed to reduce the extent
of the adverse events in all public hospitals in the country since January 2011.
The procedure is mandatory in all 19 public hospital trusts, and five private hospitals. A total of
45 teams from 18 hospital trusts, and five private hospitals, reviewed 10.986 patient records,
randomly selected from the hospitals’ patients in the period January 1st to December 31st 2013.
Admissions in rehabilitation, paediatrics end psychiatry are excluded from the sample, because
the GTT method is not developed to serve these clinical fields.
1. In 2013 patients experienced at least one incident of harm at 13.0 % of all somatic
hospital admissions in Norway. The incidents required intervention, prolonged hospital
stay or more serious consequences (categories E-I). This is a statistical significant
difference, from rates of harm in 2010 and 2011. Estimated rates were 13.7 % for 2012,
16.1 % for 2011, and 15.9 % for 2010. There is no statistical significant difference
between the estimates for 2013 and 2012.
2. In 7.6 % of all somatic hospital admissions patients experienced at least one harmful
incident that led to prolonged hospitalization or more serious consequences (categories
F -I) in Norway in 2013. Estimates were 7.7 % in 2012, 8.8 % in 2011 and 8.9 % in 2010.
There are no statistical significant differences in these estimates between any of the
years.
3. Urinary tract infections, adverse drug events, post-operative wound infections, lower
respiratory tract infections, and other infections, are the most common adverse events
throughout these years.