ArticleBMJ open2014
Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatric Trigger Tool.
Article in BMJ open, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Incidence and characteristics of adverse events in paediatric inpatient care: a systematic review and meta-analysis.BMJ quality & safety · 2023Pooled it
- Experiences of the development and use of a Paediatric Oncology Trigger Tool.BMJ open quality · 2025Article
- Development of a trigger tool to identify adverse events and no-harm incidents in paediatric oncology: a modified Delphi process using expert knowledge and user experiences.Frontiers in health services · 2025Article
- Estimating the frequency of inpatient adverse events using a two-step retrospective chart review: a study protocol.BMJ open · 2023Article
- Global Assessment of Pediatric Patient Safety Tool for identifying safety incidents in pediatric patients.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2023Article
- Predicting adverse drug events in older inpatients: a machine learning study.International journal of clinical pharmacy · 2022Article
- Validation of an electronic trigger to measure missed diagnosis of stroke in emergency departments.Journal of the American Medical Informatics Association : JAMIA · 2021Article
- Predicting Adverse Drug Events in Chinese Pediatric Inpatients With the Associated Risk Factors: A Machine Learning Study.Frontiers in pharmacology · 2021Article
- Establishment of a pediatric trigger tool based on Global Trigger Tool to identify adverse drug events of children: experience in a Chinese hospital.BMC pediatrics · 2020Article
- Reclaiming the systems approach to paediatric safety.Archives of disease in childhood · 2019Article
- Development of a trigger tool for the detection of adverse drug events in Chinese geriatric inpatients using the Delphi method.International journal of clinical pharmacy · 2019Article
- Adverse drug events in Chinese pediatric inpatients and associated risk factors: a retrospective review using the Global Trigger Tool.Scientific reports · 2018Article
- Patient safety vulnerabilities for children with intellectual disability in hospital: a systematic review and narrative synthesis.BMJ paediatrics open · 2018Article
- Patient Safety Incidents Involving Sick Children in Primary Care in England and Wales: A Mixed Methods Analysis.PLoS medicine · 2017Article
- Developing person-centred analysis of harm in a paediatric hospital: a quality improvement report.BMJ quality & safety · 2015Article
- CareTrack Kids-part 3. Adverse events in children's healthcare in Australia: study protocol for a retrospective medical record review.BMJ open · 2015Article
- Validation of triggers and development of a pediatric trigger tool to identify adverse events.BMC health services research · 2014Review
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Authors and funding
4 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
unlabelledThe measurement and examination of adverse events (AEs) that occur in children during hospital admissions is essential if we are to prevent, reduce or ameliorate the harm experienced. The UK Paediatric Trigger Tool (UKPTT) is a method of retrospective case note review that measures harm in hospitalised children.
objectivesTo examine the harm resulting from the processes of healthcare in hospitalised children from centres providing data to the National Health Service (NHS) Institute UKPTT data portal, to understand the positive predictive values of triggers and to make recommendations for the further development of the trigger tool.
setting25 hospitals across the UK, including secondary, tertiary and quaternary paediatric centres.
participantsRandomly selected children who were admitted to hospital for longer than 24 h. OUTCOME MEASURES: The primary outcome measure was the rate of harm (the percentage of children experiencing one or more AEs during a hospital admission). Secondary measures were the severity of harm and performance of triggers.
resultsData from 3992 patient admissions were reviewed across the hospitals and submitted to the trigger tool portal from February 2008 to November 2011. At least one AE was reported for 567 (14.2%) patients, with 211 (5.3%) experiencing more than one event. There were 1001 AEs identified. Where harm occurred, it was considered temporary for 923 (92.2%) AEs; however, 43 (4.3%) AEs resulted in the need for life-sustaining interventions, 18 (1.8%) AEs led to permanent harm and for 17 children (1.7% of AEs) the AE was believed to have contributed to death.
conclusionsThere is a significant, measurable level of harm experienced by children admitted to hospitals in the UK. While most of this harm is temporary, some of it is serious. The UKPTT offers organisations the means to measure and examine the AEs occurring in their hospital in order to reduce harm.
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