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We can measure harm reduction schemes across Europe.
It can be customised to diverse settings and, used consistently, can accurately measure harm over time.
However, many patient safety programs may not be time-limited or will measure harm at multiple time points.
Studies that did not measure harm adequately were mostly trials of interventions known to be associated with a substantial bleeding risk.
Our findings have practical implications for health care decision-makers, leaders and researchers aiming to measure harm at regional or national level.
7 One study used the GTT to measure harm at a large academic children's hospital in the USA and recommended the development of a paediatric specific tool.
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Increasingly, teams use the GTT to review patient records and measure harms in English and non-English-speaking countries.
16 18 The feasibility of the method invites for rapid adoption in healthcare systems around the world where practical ways to measure harms are much in demand.
"When we discussed bootleg fentanyls in [past years], we warned that a narrow focus on one drug and a preoccupation with supply control and enforcement without substantial improvements in addiction treatment access (demand reduction) and safety measures (harm reduction) would result in even more toxic opioids that are easier to traffic entering the market," Virani told VICE.
4 The Global Trigger Tool (GTT) for measuring harm was developed by the Institute for Healthcare Improvement for use in adult care settings.
The UK Paediatric Trigger Tool (UKPTT) is a method of retrospective case note review that measures harm in hospitalised children.
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