The use of a global trigger tool to inform quality and safety in Australian general practice: a pilot study

Aust Fam Physician. 2014 Oct;43(10):723-6.

Abstract

Background: Systems to identify risks and adverse events (AEs) in Australia are limited. This study aims to explore whether general practice records contain information on AEs, and to conduct a pilot study on the type and frequency of AEs in general practice in Australia, using a global trigger tool (GTT).

Methods: Five practices were recruited and consented to collect data. Practice nurses were trained to collect data at their practices. Rec-ords from randomly sampled patients aged 75 years or older were reviewed.

Results: A total of 428 patient records were reviewed. A total of 44 AEs were detected in 41 records. The percentage of patients with an AE was 9.6%. Most low preventability AEs (21/29) were medication incidents.

Discussion: The study found that significant levels of information about AEs exist in general practice medical records and rates of harm are broadly in line with a similar study in Scotland.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Australia
  • Drug-Related Side Effects and Adverse Reactions
  • Female
  • General Practice / standards*
  • Humans
  • Male
  • Medical Errors*
  • Patient Safety*
  • Pilot Projects
  • Quality Indicators, Health Care / statistics & numerical data*
  • Quality of Health Care / standards*