Fig. 1
From: The Harvard medical practice study trigger system performance in deceased patients
Procedure of medical record review in our centre. (a) Identification details of all deceased patients are inserted in the Medirede® database (b) and the corresponding medical record is screened by one of the nurses. (c) When one or more triggers are found in the medical record (registered in Medirede), the case is flagged and will continue to the review committee. (d) When no trigger is found (also registered in Medirede), no further action will be taken in the normal screening procedure. (e) The committee evaluates the cases and will determine whether (f) an adverse event occurred or (g) not.