The authors are from Boston Children's Hospital, Harvard Medical School, Brigham and Women's Hospital, Children's National Medical Center, George Washington University, Stanford University and the Institute for Healthcare Improvement.
Hospital care environment triggers (H):
(1) fall
(2) IV infiltration with phlebitis
(3) IV infiltration with hyaluronidase administration
(4) IV infiltration with phentolamine administration
(5) pressure ulcer >= Stage 2
(6) embolus or thrombus
(7) low oxygen saturation (> 1 minute of sustained oxygen saturation < 75%; 3 or more spot check saturations < 75% during a 24 hour period)
Healthcare-associated infections (I):
(1) positive test for Clostridium difficile
(2) oral vancomycin administered
(3) positive blood culture more than 48 hours after admission
(4) positive urine culture more than 48 hours after admission
(5) positive viral infection more than 48 hours after admission
(6) surgical site infection
