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Strengths and weaknesses of working with the Global Trigger Tool method for retrospective record review: focus group interviews with team members

机译：使用Global Trigger Tool方法进行回顾性记录审查的优缺点：与团队成员进行的焦点小组访谈

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Objectives: The aim was to describe the strengths and weaknesses, from team member perspectives, of working with the Global Trigger Tool (GTT) method of retrospective record review to identify adverse events causing patient harm. Design: A qualitative, descriptive approach with focus group interviews using content analysis. Setting: 5 Swedish hospitals in 2011. Participants: 5 GTT teams, with 5 physicians and 11 registered nurses. Intervention: 5 focus group interviews were carried out with the five teams. Interviews were taped and transcribed verbatim. Results: 8 categories emerged relating to the strengths and weaknesses of the GTT method. The categories found were: Usefulness of the GTT, Application of the GTT, Triggers, Preventability of harm, Team composition, Team tasks, Team members knowledge development and Documentation. Gradually, changes in the methodology were made by the teams, for example, the teams reported how the registered nurses divided up the charts into two sets, each being read respectively. The teams described the method as important and well functioning. Not only the most important, but also the most difficult, was the task of bringing the results back to the clinic. The teams found it easier to discuss findings at their own clinics. Conclusions: The GTT method functions well for identifying adverse events and is strengthened by its adaptability to different specialties. However, small, gradual methodological changes together with continuingly developed expertise and adaption to looking at harm from a patients perspective may contribute to large differences in assessment over time.
机译：目标：目的是从团队成员的角度描述使用全局触发工具（GTT）回顾性记录审查来识别导致患者伤害的不良事件的优缺点。设计：定性，描述性方法，使用内容分析进行焦点小组访谈。地点：2011年将有5家瑞典医院。参加者：5个GTT小组，5名医生和11名注册护士。干预：与五个小组进行了5次焦点小组访谈。采访录音和逐字记录。结果：出现了8种与GTT方法的优缺点有关的类别。发现的类别包括：GTT的有用性，GTT的应用，触发器，伤害的可预防性，团队组成，团队任务，团队成员的知识发展和文档编制。团队逐渐对方法进行了更改，例如，团队报告了注册护士如何将图表分成两组，分别进行读取。团队将这种方法描述为重要且运作良好。将结果重新带回诊所的任务不仅最重要，而且也是最困难的。研究小组发现，在自己的诊所讨论发现结果更容易。结论：GTT方法可很好地识别不良事件，并因其对不同专业的适应性而得到增强。但是，随着时间的推移，方法的微小，渐进的变化以及不断发展的专业知识以及对从患者角度看待伤害的适应可能会导致评估的巨大差异。

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