As part of its 100,000 Lives Saved and 5 Millions Lives Saved Campaigns, the Institute for Healthcare Improvement has collaborated with hospitals around the United States to develop methods for identifying adverse events through the use of "triggers," or clues detected in medical record review. Several Trigger Tools are available on IHI.org, including:

·        IHI Global Trigger Tool for Measuring Adverse Events [White Paper]

·        Trigger Tool for Measuring Adverse Drug Events

·        Trigger Tool for Measuring Adverse Drug Events in a Mental Health Setting

·        Trigger Tool for Measuring Adverse Drug Events in the Nursing Home

·        Surgical Trigger Tool for Measuring Peri-operative Adverse Events

·        Intensive Care Unit Adverse Event Trigger Tool

·        Trigger Tool for Measuring Adverse Events in the Neonatal Intensive Care Unit

·        Outpatient Adverse Event Trigger Tool

These tools may be downloaded without charge from the IHI web site. Users must first register with the IHI site; registration is free. Once logged on to the IHI web site,The IHI Global Trigger Tools for Measuring Adverse Events can be downloaded free of charge at: http://www.ihi.org/IHI/Topics/PatientSafety/SafetyGeneral/Tools/IntrotoTriggerToolsforIdentifyingAEs.htm.