運用IHI Global Trigger Tool衡量醫院安全

Using IHI Global Trigger Tool to Measure Hospital Safety

運用Institute of Healthcare Improvement, IHI （www.IHI.org），所發展的Global Trigger Tool for Measuring Adverse Events（全面性觸發工具衡量不良事件）的客觀方法，來衡量醫院的安全。自2009年到2014年運用IHI Trigger tool為篩選工具，由受訓後的醫師、藥師、護理師及管理師共同審查病歷紀錄。對於不良事件的發生率發現不良事件發生率、每本病歷不良事件件數、警訊事件發生率結果，都逐年呈現明顯下降趨勢。客觀數據使我們能夠成功記錄醫院安全性已得到改善。並且在項目中發現的不良事件隨後進行了深入調查。目標是創建一個以患者安全為中心的醫療環境。

The Institute of Healthcare Improvement, IHI (www.IHI.org), developed the Global Trigger Tool for Measuring Adverse Events, an objective method to measure hospital safety. From 2009 to 2014, The IHI Trigger tool was used as a screening tool, and medical records were reviewed by trained physicians, pharmacists, nurses, and administrators for the incidence of adverse events. It was found that the incidence of adverse events, the number of adverse events per case, and the incidence of warning events all showed a significant downward trend year by year. The objective data allow us to successfully document that the hospital safety has improved. Adverse events discovered in the project were followed up by in-depth investigation. The goal is to create a medical care environment centered on patient safety.