390 Pilot Study to Test and Refine an Emergency Department Trigger Tool

Quality and safety review methods used in many EDs are decades old, porous and inefficient for identifying adverse events (AEs). Trigger Tools (TTs) popularized by the Institute for Healthcare Improvement, use 2-level reviews: a 1st level (L1) nurse review searching for the presence of triggers (thought to increase the likelihood of an AE) and if present, in-depth review for an AE, followed by a 2nd level physician review (L2) for putative AEs. TTs have been developed for a variety of clinical specialties.

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