Measuring harm and informing quality improvement in the Welsh NHS: the longitudinal Welsh national adverse events study.
Mayor S, Baines E, Vincent CA, et al. Measuring Harm And Informing Quality Improvement In The Welsh Nhs: The Longitudinal Welsh National Adverse Events Study. Southampton, UK: NIHR Journals Library; 2017. https://www.ncbi.nlm.nih.gov/books/NBK424600/.
This publication compared the use of the Global Trigger Tool with a two-stage retrospective review process to design a method to monitor health care–associated harm in Welsh National Health Service hospitals. Analyzing results from 11 of the 13 system hospitals, investigators determined that a hybrid incident review approach that does not rely on physician involvement can return reliable data.