Table 2.

Characteristics of Modified Global Trigger Tool Adverse Events

Event Type	Reported	Subgroup	N (total n=79)
Care Module (n=25)	C1	Transfusion or use of blood products	8
	C2	Code/arrest/rapid response team	2
	C4	Positive Blood Culture	1
	C7	Patient fall	2
	C9	Readmission Within 30 Days	1
	C11	Healthcare-associated infection	4
	C14	Any procedure complication	4
	C15	Other	3
Medication Module (n=52)	M4	Glucose less than 50 mg/dl	1
	M5	Rising BUN or serum creatinine	1
	M6	Vitamin K administration	1
	M7	Benadryl (Diphenhydramine) use	2
	M10	Anti-emetic use	5
		*zofran, ativan, compazine, zyprexia, reglan, vanco, omnipaque, gadovist
	M11	Over-sedation/hypotension	6
	M12	Abrupt Medication Stop	16
		*morphine, oxycodone, pepcid, amlodipine, lisinopril, lovenox, ASA, metoprolol, atenolol, oxycontin, dilaudid, haldol, dexamethasone, cefepime
	M13	Other	20
		*neupogen, allupurinol, oxycodin, dexamethasone, amodipine, hydralazine
Intensive Care Module (n=2)	I1	Pneumonia onset	1
	I3	In-Unit Procedure	1
Harm Code	Definition		N (total n=79)
A	Circumstances or events that have the capacity to cause error		1
B	An error that did not reach the patient		0
C	An error that reached the patient but did not cause harm		5
D	An error that reached the patient and required monitoring or intervention to confirm that it resulted in no harm to the patient		32
E	Temporary harm to the patient and required intervention		35
F	Temporary harm to the patient and required initial or prolonged hospitalization		5
G	Permanent patient harm		0
H	Intervention required to sustain life		0
I	Patient death		1
Preventability			N (total n=79)
Definitely Preventable			9
Probably Preventable			12
Probably Not Preventable			40
Definitely Not Preventable			18

^*medications taken directly from EHR description of Global Trigger Tool AE analysis during chart review