Paediatric Focused Triggering Tool (PFTT) To Assess the Harm and its Utilization to Minimize the Levels of Harm among Children at a Tertiary Care Hospital
Geetanjali Shankarprasad Salimath1★, Madiwalayya Shivakantayya Ganachari1, Manjula Gudhoor1★ Corresponding author
- 1Department of Pharmacy Practice, KLE College of Pharmacy, KLE Academy for Higher Education and Research (KAHER), Belagavi, Karnataka, INDIA.
CORRESPONDENCE
Geetanjali Shankarprasad Salimath
Department of Pharmacy Practice, KLE College of Pharmacy, KLE Academy for Higher Education and Research (KAHER), Belagavi, Karnataka, INDIA.
Received: 25-01-2020; Revised: 19-04-2020; Accepted: 17-06-2020.
Volume 54, Issue 3 · pp. 819–825 · PUBLISHED 2020 · DOI: 10.5530/ijper.54.3.134
ABSTRACT
Objectives: Very few paediatric trigger tools have been developed to assess harm in children. Hence, a Paediatric-focused trigger tool has been developed, assess its utility to measure the levels of harm, categorize and minimize them further. Methodology: The final 40 trigger tool developed by modifying IHI-GTT adult care, was prospectively tested for structural review of records (n=520) of paediatric population of a tertiary care hospital for incidence of adverse events (AE’s) with associated harm and categorized using modified NCCMERP (National Coordinating Council for Medication Error Reporting and Prevention) index from E-I. Results: Among 292 male and 228 female children, the incidence of AEs was 35%, more in the category of 1-5 years of age with harm assessment events. Out of 182 AEs identified, 107(58.80%) were found to be of E-category, 43(23.62%) were of category F, 22(12.08%) with category G, 9(4.95%) with category H and 1(0.55%) was category I. Two third of the paediatric population of category E and F (82.4%) had temporary harm and remaining (17.6%) were of nonpreventable harm, category G-I. One example of AE identified with harm was, decrease in 25% in Haemoglobin or Haematocrit and number of blood transfusions. Further action was taken to strictly monitor and minimize further harm. Conclusion: The present study highlights on the harm assessment among the paediatric population with the help of developed Paediatric-Focused Trigger Tool (PFTT) modified by using IHI-GTT adult trigger tool. This helps paediatric set ups to assess its usefulness and further develop strategies to mitigate the harm.
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Salimath, G. S., Ganachari, M. S., & Gudhoor, M. (2020). Paediatric Focused Triggering Tool (PFTT) To Assess the Harm and its Utilization to Minimize the Levels of Harm among Children at a Tertiary Care Hospital. Indian Journal of Pharmaceutical Education and Research, 54(3), 819–825. https://doi.org/10.5530/ijper.54.3.134