Does Skilled Nursing Facility Trigger Tool used with Global Trigger Tool increase its value for adverse events evaluation?

Objective: To assess the additional value in the evaluation of incidents and adverse events by adding the IHI Skilled Nursing Facility Trigger Tool (SNFTT) to the Institute for Healthcare Improvement's Global Trigger Tool (GTT) in an acute geriatric hospital.

Material And Methods: A one-year retrospective study reviewing 240 electronic clinical records using the general GTT, either alone or combined with SNFTT.

Main Outcome Measures: Number of triggers and identified adverse events (AEs), categories of severity and preventability of AEs, GTT incidence rates, and the number needed to alert (NNA).

Hospital Environment as a Source of Azole-Resistant Strains with TR34/L98H and G448S Cyp51A Mutations.

Azole-resistant is an emerging worldwide problem with increasing reports of therapy failure cases produced by resistant isolates. A case of azole-resistant hospital colonization in a patient is reported here. Investigations of the hospital environment led to the recovery of strains harboring the TR34/L98H and the G448S Cyp51A azole resistance mechanisms.

[Benchmarking in patient identification: An opportunity to learn].

Objective: To perform a benchmarking on the safe identification of hospital patients involved in "Club de las tres C" (Calidez, Calidad y Cuidados) in order to prepare a common procedure for this process.

Material And Methods: A descriptive study was conducted on the patient identification process in palliative care and stroke units in 5medium-stay hospitals. The following steps were carried out: Data collection from each hospital; organisation and data analysis, and preparation of a common procedure for this process.

[Compliance with the surgical safety checklist and surgical events detected by the Global Trigger Tool].

Introduction: The implementing of the WHO Surgical Safety Checklist (SSC) has helped to improve patient safety. The aim of this study was to assess the level of compliance of the SSC, and incorporating the non-compliances as «triggers» in the Global Trigger Tool (GTT).

Setting: Acute Geriatric Hospital (200 beds).