Development and validation of trigger tools in primary care: A scoping review.

In primary care, trigger tools have been utilized to evaluate and identify patient safety events. The use of trigger tools could help clinicians and patients detect adverse events in a patient's medical record. Due to a lack of research on the process development of trigger tools in primary car...

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Main Authors: Inge Dhamanti, Elida Zairina, Ida Nurhaida, Salsabila Salsabila, Fitri Yakub
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0308906
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author Inge Dhamanti
Elida Zairina
Ida Nurhaida
Salsabila Salsabila
Fitri Yakub
author_facet Inge Dhamanti
Elida Zairina
Ida Nurhaida
Salsabila Salsabila
Fitri Yakub
author_sort Inge Dhamanti
collection DOAJ
description In primary care, trigger tools have been utilized to evaluate and identify patient safety events. The use of trigger tools could help clinicians and patients detect adverse events in a patient's medical record. Due to a lack of research on the process development of trigger tools in primary care, the purpose of this scoping review is to investigate the trigger development and validation process in primary care settings. A scoping review methodology was used to map the published literature using the Joanna Briggs Methodology of performing scoping review. We considered only studies published in English in the last five years and included both qualitative and quantitative study designs. The final review included five articles. The primary care and combined primary-secondary care studies are included to gain more knowledge in the process development and validation of trigger tools. The trigger tool development process begins with clearly defining the triggers, which are then programmed into a combined computerized algorithm. The validation process was then carried out in two steps by both physician and non-physician experts for content and concurrent validity. The sensitivity, specificity, and positive predictive value (PPV) of the final algorithm were critical in determining the validity of each trigger. This study provided a comprehensive guide to developing trigger tools, emphasizing the importance of precisely defining triggers through a thorough literature review and dual validation process. There were similarities in the development and validation of trigger tools across primary care and hospital settings, allowing primary care to learn from hospital settings.
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spelling doaj-art-61a12bfa72cc443aa6e56a6a2ffa266d2025-01-08T05:31:56ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01201e030890610.1371/journal.pone.0308906Development and validation of trigger tools in primary care: A scoping review.Inge DhamantiElida ZairinaIda NurhaidaSalsabila SalsabilaFitri YakubIn primary care, trigger tools have been utilized to evaluate and identify patient safety events. The use of trigger tools could help clinicians and patients detect adverse events in a patient's medical record. Due to a lack of research on the process development of trigger tools in primary care, the purpose of this scoping review is to investigate the trigger development and validation process in primary care settings. A scoping review methodology was used to map the published literature using the Joanna Briggs Methodology of performing scoping review. We considered only studies published in English in the last five years and included both qualitative and quantitative study designs. The final review included five articles. The primary care and combined primary-secondary care studies are included to gain more knowledge in the process development and validation of trigger tools. The trigger tool development process begins with clearly defining the triggers, which are then programmed into a combined computerized algorithm. The validation process was then carried out in two steps by both physician and non-physician experts for content and concurrent validity. The sensitivity, specificity, and positive predictive value (PPV) of the final algorithm were critical in determining the validity of each trigger. This study provided a comprehensive guide to developing trigger tools, emphasizing the importance of precisely defining triggers through a thorough literature review and dual validation process. There were similarities in the development and validation of trigger tools across primary care and hospital settings, allowing primary care to learn from hospital settings.https://doi.org/10.1371/journal.pone.0308906
spellingShingle Inge Dhamanti
Elida Zairina
Ida Nurhaida
Salsabila Salsabila
Fitri Yakub
Development and validation of trigger tools in primary care: A scoping review.
PLoS ONE
title Development and validation of trigger tools in primary care: A scoping review.
title_full Development and validation of trigger tools in primary care: A scoping review.
title_fullStr Development and validation of trigger tools in primary care: A scoping review.
title_full_unstemmed Development and validation of trigger tools in primary care: A scoping review.
title_short Development and validation of trigger tools in primary care: A scoping review.
title_sort development and validation of trigger tools in primary care a scoping review
url https://doi.org/10.1371/journal.pone.0308906
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