Safety & Improvement in General Medical Practice Trigger Review of Clinical Records. Paul Bowie Associate Adviser Postgraduate GP Education NHS Education for Scotland 2 Central Quay, Glasgow [email protected] Content and Purpose of Session. Content
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Brief presentation: Overview of Trigger Review concept
Go over Trigger Review Documentation
Exercise: trigger review of simulated record
Group reflection on what was found and the “answers”
To describe the Trigger Review concept and provide basic training in applying the Method
You understand the principle of the Trigger Review Method
You are reasonably confident in your ability to try it out back in practice
“Triggers” in Clinical Records‘‘Triggers’’ are defined as easily identifiable flags, occurrences or prompts in patient records that alert reviewers to actual or potential safety incidents (undetected)
The focus is patient safety incidents and not error. Ask yourself: ‘Would I have wanted this to happen to me or my family?’
Only review the specific period in the record (3-months).
Choose full calendar months to facilitate the review.
The maximum time spent on reviewing any record should be twenty minutes. The objective is to detect ‘obvious’ problems, rather than every single episode.
Most records do not contain triggers or evidence of incidents – these only take a few minutes to review
If there is reasonable doubt whether a safety incident occurred, the incident should not be recorded.
Use the team to assist in searching (admin) for and reviewing (nurse) records