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Open Book: Reviewing trigger tool notes to uncover harm (April 2016)

16th November, 2021

This first trigger tool Open Book report focuses on cases from a hospital setting. Trigger tools are also used in primary care. The aim of this report is to encourage reflective learning using harm triggers identified in one organisation. Other organisations are likely to have similar cases.

We offer questions to prompt next steps in identifying and addressing the underlying systems cause(s) of harm.

Last updated: 16th November, 2021