Table 2 Triggers

1

Unplanned admission before index admission (admission reasons are related to the index admission)

2

Unplanned readmission after discharge

3

Hospital-incurred patient injury (Permanent or temporary injury obtained (acquired) during index admission)

4

Adverse drug reaction

5

Unplanned transfer from general care to (an) intensive care (unit)

6

Unplanned transfer to another acute care hospital (after unexpected deterioration of the patient)

7

Unplanned return to the operating room

8

Unplanned removal, injury, or repair of organ during surgery

9

Hospital-acquired infection or sepsis (initiated >72 hours after admission)

10

Other patient complication

11

Development of neurological deficit not present on admission

12

Unexpected death

13

Cardiac or respiratory arrest

14

Inappropriate discharge to home

15

Dissatisfaction with care documented in the medical record

16

Any other undesirable outcome not covered above