Rev. Soc. Bras. Enferm. Ped.2025;25:eSOBEP202511.
Implementation of the Paediatric Trigger Tool in a Pediatric Inpatient Unit
DOI: 10.31508/1676-3793202511i
Abstract
Objective
To describe the implementation of the Paediatric Trigger Tool (PTT) for tracking adverse events in a pediatric inpatient unit.
Method
This is a descriptive implementation study conducted in a university hospital in the Central-West region of Brazil. The implementation was carried out in five stages between October 2020 and February 2021. A total of 194 pediatric medical records of hospitalized children and adolescents with a length of stay ≥24 hours were reviewed. The adverse events identified were classified according to the National Coordinating Council for Medication Error Reporting and Prevention (NCC/MERP) scale.
Results
The application of the tool enabled the identification of 204 triggers and 64 adverse events, demonstrating its feasibility for the active search of safety incidents. The mean review time was 20 minutes per medical record and required a team of three professionals.
Conclusion
The tool proved to be promising for monitoring pediatric patient safety and supporting risk management actions.