7: GTT TRIGGER TOOL FOR Status: Awaiting Peer/Dr Review: Y N ADVERSE EVENTS Chart Review Complete: Y N Review Team #: Reviewer Date of Week Admission name: chart of date: review: year: NHI: DOB: Discharge Discharge LOS Discharge ward: specialty: days: date: Triggers Harm Sub When Where Description: Harm, cause, intervention, Review? Cat. Cat. outcome Peer Dr
7: GTT TRIGGER TOOL FOR ADVERSE EVENTS Status: Awaiting Peer/Dr Review: Y N Chart Review Complete: Y N Review Team #: Reviewer name: Date of chart review: Week of year: Admission date: NHI: DOB: Discharge ward: Discharge specialty: LOS days: Discharge date: Triggers Harm Cat. Sub Cat. When Where Description: Harm, cause, intervention, outcome Review? Peer Dr