The second National Global Trigger Tool (GTT) workshop was held on 11 April 2014 at Ko Awatea, in Auckland. The workshop, attended by around 50 participants from 11 district health boards (DHBs) was a partnership between the Health Quality & Safety Commission (the Commission) and First, Do No Harm.
The focus was ‘using data for improvement’, as a number of DHBs now have sufficient data to start considering how best to translate this into improvement work. Drawing on GTT data is a useful way of identifying healthcare-associated harm that is often undetected by other methods. This data can help influence where improvement work should be targeted.
The teams presented story boards (see link below) and generated some great discussion and learning from each other.
A number of presentations (see link below) were given by representatives from Counties Manukau, Auckland, Lakes and Hawke's Bay DHBs. They featured challenges and successes relating to the use of the GTT process and how it is contributing to improving care.
In using the workshop as a key engagement forum for the sector there were some key findings that emerged and these provided the catalyst for very valuable discussion during the workshop and will also inform the ongoing development of the programme. In summary:
- the fundamental strength and value of the GTT approach is the source of data it provides us about patient harm and this should inform improvements in care
- evidence from international literature and discussions with the international community show that people are exploring ways to improve the utility of the GTT
- the importance in New Zealand is to maintain a consistent approach across all DHBs with respect to definitions and the GTT process through ongoing leadership from the Commission
- over the next year, the Commission’s focus should be on strengthening regional GTT networks and clinical leadership to support the process and to share learnings
- there should be a continued effort to develop the GTT Shared Workspace to facilitate discussions and learning among all participating DHBs.
The day concluded with a session facilitated by Matt Cope (Ko Awatea Quality Improvement Advisor) who led a discussion on GTT in the broader context of patient safety. This challenged workshop groups to think about next steps and commit to these within specified timeframes.