medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2018-17-56-65medsovet-2697Research ArticleАКТУАЛЬНОACTUALЗначение метода глобальных триггеров для выявления неблагоприятных событий, связанных с оказанием медицинской помощи в педиатрииGlobal trigger tool value for revealing of unwanted events related to medical care in pediatricsИващенкоД. В.IvashchenkoD. V.

Иващенко Дмитрий Владимирович – кандидат медицинских наук, научный сотрудник отдела персонализированной медицины НИИ молекулярной и персонализированной медицины, федеральное государственное бюджетное образовательное учреждение дополнительного профессионального образования «Российская медицинская академия непрерывного профессионального образования (ФГБОУ ДПО РМАНПО) МЗ РФ

Москва

БуромскаяН. И.BuromskayaN. I.

Буромская Нина Ивановна – заведующая отделением № 1, врач-психиатр детский

Москва

СавченкоЛ. М.SavchenkoL. M.

Савченко Людмила Михайловна – кандидат медицинских наук, доцент, ученый секретарь, кафедра наркологии

Москва

ШевченкоЮ. С.ShevchenkoYu. S.

Шевченко Юрий Степанович – доктор медицинских наук, профессор, заведующий кафедрой детской психиатрии и психотерапии

Москва

СычевД. А.SychevD. A.

Сычев Дмитрий Алексеевич – доктор медицинских наук, профессор, член-корреспондент РАН, заведующий кафедрой клинической фармакологии и терапии

Москва

ФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава РоссииРоссияRussian Medical Academy of Continuous Professional EducationRussian FederationГБУЗ «Научно-практический центр психического здоровья детей и подростков им. Г.Е. Сухаревой» Департамента здравоохранения МосквыРоссияG.E. Sukhareva Research practical center of children and adolescents mental healthRussian Federation2018201020180175665Copyright © Иващенко Д.В., Буромская Н.И., Савченко Л.М., Шевченко Ю.С., Сычев Д.А., 20182018Иващенко Д.В., Буромская Н.И., Савченко Л.М., Шевченко Ю.С., Сычев Д.А.Ivashchenko D.V., Buromskaya N.I., Savchenko L.M., Shevchenko Y.S., Sychev D.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/2697

В статье рассмотрен метод глобальных триггеров для педиатрической практики. Глобальные триггеры – специальный подход к повышению безопасности пациентов, находящихся на лечении в стационаре, основанный на выявлении признаков высокого риска развития нежелательных событий при анализе медицинской документации. Метод глобальных триггеров – Global Trigger Tool – изначально был разработан для взрослых пациентов, и только последние несколько лет предпринимаются попытки создания специального инструмента для педиатрии. В настоящее время таковым является Global Assessment of Pediatric Patient Safety (GAPPS). Нами приведены триггеры, применяемые в данном алгоритме, а также разобран процесс его разработки, приведены примеры использования за рубежом. Данный метод пока не применялся в российской педиатрической практике. Подход, основанный на выявлении нежелательных событий при помощи триггеров, является гораздо эффективнее метода спонтанных сообщений в повышении безопасности пациентов.

Global trigger tool algorithm was described by this article. Global triggers are the special tools to increase inpatients’ safety, which is based on identifying of unwanted events’ high-risk indicators in medical documents. Global trigger tool was initially developed for adult patients and only recent several years there have been … efforts to create special pediatric algorithm. At the moment Global Assessment of Pediatric Patient Safety (GAPPS) is it. There are triggers of that algorithm in the article. Moreover, development process was described and foreign studies with GAPPS were demonstrated here. That tool while have not been implemented into Russian pediatrics. It is more effective approach to identify unwanted events by triggers compared to spontaneous messages in order to increase inpatients’ safety.

безопасность лекарствнежелательные событиянеблагоприятные побочные реакцииметод глобальных триггеровPACHMTGAPPSпедиатрияdrug safetyunwanted eventsadverse drug reactionsglobal trigger toolPACHMTGAPPSpediatricsReferencesClassen DC, Resar R, Griffin F, Federico F, Frankel T, Kimmel N, Whittington JC, Frankel A, Seger A, James BC. ‘Global trigger tool’ shows that adverse events in hospitals may be ten times greater than previously measured. Health Aff (Millwood), 2011, 30(4): 581-589. doi: 10.1377/hlthaff.2011.0190.Classen DC, Resar R, Griffin F, Federico F, Frankel T, Kimmel N, Whittington JC, Frankel A, Seger A, James BC. ‘Global trigger tool’ shows that adverse events in hospitals may be ten times greater than previously measured. Health Aff (Millwood), 2011, 30(4): 581-589. doi: 10.1377/hlthaff.2011.0190.Отделенов В.А., Пающик С.А., Яшина Л.П., Сычев Д.А., Назаренко Г.И., Клейменова Е.Б. Использование триггеров нежелательных событий для выявления побочных реакций при применении лекарственных средств в стационаре. Клиническая фармакология и терапия, 2015, 24(4): 55-62.Otdelenov VA, Payushchik SA, Yashina LP, Sychev DA, Nazarenko GI, Kleymenova EB. Use of triggers tools to detect adverse drug reactions in the hospital. Klinicheskaya Farmakologiya i Terapiya, 2015, 24 (4): 55-62.Stockwell DC, Slonim AD. Quality and safety in the intensive care unit. J Intensive Care Med, 2006, 21(4): 199-210.Stockwell DC, Slonim AD. Quality and safety in the intensive care unit. J Intensive Care Med, 2006, 21(4): 199-210.Hallas J, Harvald B, Gram LF, Grodum E, Brosen K, Haghfelt T, Damsbo N. Drug related hospital admissions: the role of definitions and intensity of data collection, and the possibility of prevention. J Intern Med, 1990, 228(2): 83-90.Hallas J, Harvald B, Gram LF, Grodum E, Brosen K, Haghfelt T, Damsbo N. Drug related hospital admissions: the role of definitions and intensity of data collection, and the possibility of prevention. J Intern Med, 1990, 228(2): 83-90.Resar RK. Griffin FA. Institute for Healthcare Improvement: IHI Global Trigger Tool for Measuring Adverse Events (Second Edition). Institute for Healthcare Improvement, Cambridge, MA, 2nd edition, 2009.Resar RK. Griffin FA. Institute for Healthcare Improvement: IHI Global Trigger Tool for Measuring Adverse Events (Second Edition). Institute for Healthcare Improvement, Cambridge, MA, 2nd edition, 2009.Garrett PR Jr, Sammer C, Nelson A, Paisley KA, Jones C, Shapiro E, Tonkel J, Housman M. Developing and implementing a standardized process for global trigger tool application across a large health system. Jt Comm J Qual Patient Saf, 2013, 39(7): 292-297.Garrett PR Jr, Sammer C, Nelson A, Paisley KA, Jones C, Shapiro E, Tonkel J, Housman M. Developing and implementing a standardized process for global trigger tool application across a large health system. Jt Comm J Qual Patient Saf, 2013, 39(7): 292-297.Stacey S, Coombes I, Wainwright C, Klee B, Miller H, Whitfield K. Characteristics of adverse medication events in a children’s hospital. J Paediatr Child Health, 2014, 50(12): 966-971.Stacey S, Coombes I, Wainwright C, Klee B, Miller H, Whitfield K. Characteristics of adverse medication events in a children’s hospital. J Paediatr Child Health, 2014, 50(12): 966-971.Sharek PJ, Horbar JD, Mason W, Bisarya H, Thurm CW, Suresh G, Gray JE, Edwards WH, Goldmann D, Classen D. Adverse events in the neonatal intensive care unit: development, testing, and findings of an NICU-focused trigger tool to identify harm in North American NICUs. Pediatrics, 2006, 118(4): 1332-1340.Sharek PJ, Horbar JD, Mason W, Bisarya H, Thurm CW, Suresh G, Gray JE, Edwards WH, Goldmann D, Classen D. Adverse events in the neonatal intensive care unit: development, testing, and findings of an NICU-focused trigger tool to identify harm in North American NICUs. Pediatrics, 2006, 118(4): 1332-1340.Takata GS, Mason W, Taketomo C, Logsdon T, Sharek PJ. Development, testing, and findings of a pediatric-focused trigger tool to identify medicationrelated harm in US children’s hospitals. Pediatrics, 2008, 121(4): e927-935.Takata GS, Mason W, Taketomo C, Logsdon T, Sharek PJ. Development, testing, and findings of a pediatric-focused trigger tool to identify medicationrelated harm in US children’s hospitals. Pediatrics, 2008, 121(4): e927-935.Matlow AG, Baker GR, Flintoft V, Cochrane D, Coffey M, Cohen E, Cronin CM, Damignani R, Dube R, Galbraith R, Hartfield D, Newhook LA, Nijssen-Jordan C. Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Study. CMAJ, 2012, 184(13): E709-718.Matlow AG, Baker GR, Flintoft V, Cochrane D, Coffey M, Cohen E, Cronin CM, Damignani R, Dube R, Galbraith R, Hartfield D, Newhook LA, Nijssen-Jordan C. Adverse events among children in Canadian hospitals: the Canadian Paediatric Adverse Events Study. CMAJ, 2012, 184(13): E709-718.Kirkendall ES, Kloppenborg E, Papp J, White D, Frese C, Hacker D, Schoettker PJ, Muething S, Kotagal U. Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. Pediatrics, 2012, 130(5): e12061214.Kirkendall ES, Kloppenborg E, Papp J, White D, Frese C, Hacker D, Schoettker PJ, Muething S, Kotagal U. Measuring adverse events and levels of harm in pediatric inpatients with the Global Trigger Tool. Pediatrics, 2012, 130(5): e12061214.Ji HH, Song L, Xiao JW, Guo YX, Wei P, Tang TT, Tian XJ, Tang XW, Jia YT. Adverse drug events in Chinese pediatric inpatients and associated risk factors: a retrospective review using the Global Trigger Tool. Sci Rep, 2018, 8(1): 2573.Ji HH, Song L, Xiao JW, Guo YX, Wei P, Tang TT, Tian XJ, Tang XW, Jia YT. Adverse drug events in Chinese pediatric inpatients and associated risk factors: a retrospective review using the Global Trigger Tool. Sci Rep, 2018, 8(1): 2573.Agarwal S, Classen D, Larsen G, Tofil NM, Hayes LW, Sullivan JE, Storgion SA, Coopes BJ, Craig V, Jaderlund C, Bisarya H, Parast L, Sharek P. Prevalence of adverse events in pediatric intensive care units in the United States. Pediatr Crit Care Med, 2010, 11(5): 568-578.Agarwal S, Classen D, Larsen G, Tofil NM, Hayes LW, Sullivan JE, Storgion SA, Coopes BJ, Craig V, Jaderlund C, Bisarya H, Parast L, Sharek P. Prevalence of adverse events in pediatric intensive care units in the United States. Pediatr Crit Care Med, 2010, 11(5): 568-578.Larsen GY, Donaldson AE, Parker HB, Grant MJ. Preventable harm occurring to critically ill children. Pediatr Crit Care Med, 2007, 8(4): 331-336.Larsen GY, Donaldson AE, Parker HB, Grant MJ. Preventable harm occurring to critically ill children. Pediatr Crit Care Med, 2007, 8(4): 331-336.Hooper AJ, Tibballs J. Comparison of a Trigger Tool and voluntary reporting to identify adverse events in a paediatric intensive care unit. Anaesth Intensive Care, 2014, 42(2): 199-206.Hooper AJ, Tibballs J. Comparison of a Trigger Tool and voluntary reporting to identify adverse events in a paediatric intensive care unit. Anaesth Intensive Care, 2014, 42(2): 199-206.Hibbert PD, Hallahan AR, Muething SE, Lachman P, Hooper TD, Wiles LK, Jaffe A, White L, Wheaton GR, Runciman WB, Dalton S, Williams HM, Braithwaite J. CareTrack Kids-part 3. Adverse events in children’s healthcare in Australia: study protocol for a retrospective medical record review. BMJ Open, 2015, 5(4): e007750.Hibbert PD, Hallahan AR, Muething SE, Lachman P, Hooper TD, Wiles LK, Jaffe A, White L, Wheaton GR, Runciman WB, Dalton S, Williams HM, Braithwaite J. CareTrack Kids-part 3. Adverse events in children’s healthcare in Australia: study protocol for a retrospective medical record review. BMJ Open, 2015, 5(4): e007750.Stockwell DC, Bisarya H, Classen DC, Kirkendall ES, Landrigan CP, Lemon V, Tham E, Hyman D, Lehman SM, Searles E, Hall M, Muething SE, Schuster MA, Sharek PJ. A trigger tool to detect harm in pediatric inpatient settings. Pediatrics, 2015, 135(6): 1036-1042.Stockwell DC, Bisarya H, Classen DC, Kirkendall ES, Landrigan CP, Lemon V, Tham E, Hyman D, Lehman SM, Searles E, Hall M, Muething SE, Schuster MA, Sharek PJ. A trigger tool to detect harm in pediatric inpatient settings. Pediatrics, 2015, 135(6): 1036-1042.Stockwell DC, Bisarya H, Classen DC, Kirkendall ES, Lachman PI, Matlow AG, Tham E, Hyman D, Lehman SM, Searles E, Muething SE, Sharek PJ. Development of an Electronic Pediatric All-Cause Harm Measurement Tool Using a Modified Delphi Method. J Patient Saf, 2016, 12(4): 180-189.Stockwell DC, Bisarya H, Classen DC, Kirkendall ES, Lachman PI, Matlow AG, Tham E, Hyman D, Lehman SM, Searles E, Muething SE, Sharek PJ. Development of an Electronic Pediatric All-Cause Harm Measurement Tool Using a Modified Delphi Method. J Patient Saf, 2016, 12(4): 180-189.Landrigan CP, Stockwell D, Toomey SL, Loren S, Tracy M, Jang J, Quinn JA, Ashrafzadeh S, Wang M, Sharek PJ, Parry G, Schuster MA. Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) Tool. Pediatrics, 2016, 137(6). pii: e20154076.Landrigan CP, Stockwell D, Toomey SL, Loren S, Tracy M, Jang J, Quinn JA, Ashrafzadeh S, Wang M, Sharek PJ, Parry G, Schuster MA. Performance of the Global Assessment of Pediatric Patient Safety (GAPPS) Tool. Pediatrics, 2016, 137(6). pii: e20154076.Stroupe LM, Patra KP, Dai Z, Lancaster J, Ahmed A, Merti E, Riley R, Whitehair J. Measuring Harm in Hospitalized Children via a Trigger Tool. J Pediatr Nurs, 2017, pii: S0882-5963(16)30295-0.Stroupe LM, Patra KP, Dai Z, Lancaster J, Ahmed A, Merti E, Riley R, Whitehair J. Measuring Harm in Hospitalized Children via a Trigger Tool. J Pediatr Nurs, 2017, pii: S0882-5963(16)30295-0.

The authors declare that there are no conflicts of interest present.