35-Trigger Canadian Paediatric Trigger Tool
| Care module | |
| C 01 | Transfusion/use of blood products |
| C 02 | Any code or arrest (successfully resuscitated) |
| C 03 | Unplanned admission (including readmission) as a result of any healthcare management within the 3 months prior to OR after discharge from the index hospitalisation |
| C 04 | Infection of any kind |
| C 05 | In hospital stroke |
| C 06 | Transfer to higher level of care |
| C 07 | Catheter infiltration/burn |
| C 08 | Complication related to central venous catheter |
| C 09 | Necrotising enterocolitis |
| C 10 | Cranial imaging in infants ≤3 months |
| C 11 | Extreme temperature: ≥35°C (35°C) or ≤40°C (40°C) |
| C 12 | Intubation/reintubation/accidental extubation |
| C 13 | Emergent C-section delivery (neonate only) |
| C 14 | Dissatisfaction with care documented in the medical record and/or evidence of complaint lodged (including documented complaint, conflict between patient/family and staff, discharged against medical advice/documentation or correspondence indicating litigation, either contemplated or actual |
| C 15 | Unexpected death |
| ICU module | |
| I 01 | Readmission to ICU |
| I 02 | In-unit procedure |
| I 03 | Failed extubation |
| Laboratory module | |
| L 01 | Abrupt drop ≥25% Hgb or Hct |
| L 02 | Platelet count < 50 000/mm3 (50×10 e9 l) |
| L 03 | PTT>100 s or INR>6 |
| L 04 | D-dimer (positive by local lab normal) |
| L 05 | Sodium: 120 mmol/l>Na>150 mmol/l |
| L 06 | Potassium: 3.0 mmol/l>K+>6.0 mmol/l |
| L 07 | Rising BUN/creat >2×baseline |
| L 08 | Hypoxia: O2 Sat <75% |
| L 09 | Positive blood culture |
| L 10 | Gentamicin/tobramycin: (except CF patients) trough <2 mg/l or peak >10 mg/l |
| Medication module | |
| M 01 | Vitamin K (excluding newborns) |
| M 02 | Heparin or low-molecular-weight heparin |
| Surgical module | |
| S 01 | Unplanned or return to surgery |
| S 02 | Intraoperative intravenous epinephrine, norepinephrine, naloxone, flumazenil |
| S 03 | Removal/injury or repair of organ |
| S 04 | Wrong site/wrong procedure/wrong patient |
| Other module | |
| O1 | Other/any other undesirable outcomes not covered above |
ICU, intensive care unit; Hgb, haemoglobin; Hct, haematocrit; WBC, While blood count; PTT, partial thromboplastin time; INR, international normalised ratio; BUN, blood urea nitrogen; creat, creatinine; CF, cystic fibrosis; CV, cardiovascular.