Development of the Japanese version of the Intensive Care Unit Trigger Tool to detect adverse events in critically ill patients

Gen Aikawa; Hideaki Sakuramoto; Akira Ouchi; Chiemi Ono; Tetsuya Hoshino; Takahiro Kido; Yoshiaki Inoue; Yoshihiro Asano; Kikue Hidaka

doi:10.1002/ams2.672

Development of the Japanese version of the Intensive Care Unit Trigger Tool to detect adverse events in critically ill patients

Acute Med Surg. 2021 Jun 22;8(1):e672. doi: 10.1002/ams2.672. eCollection 2021 Jan-Dec.

Authors

Gen Aikawa^{1

2}, Hideaki Sakuramoto³, Akira Ouchi³, Chiemi Ono², Tetsuya Hoshino¹, Takahiro Kido⁴, Yoshiaki Inoue¹, Yoshihiro Asano⁵, Kikue Hidaka⁵

Affiliations

¹ Department of Emergency and Critical Care Medicine Faculty of Medicine University of Tsukuba Tsukuba Japan.
² Intensive Care Unit University of Tsukuba Hospital Tsukuba Japan.
³ Department of Adult Health Nursing College of Nursing Ibaraki Christian University Hitachi Japan.
⁴ Department of Pediatrics University of Tsukuba Hospital Tsukuba Japan.
⁵ Department of Chronic Illness Care Nursing Faculty of Medicine University of Tsukuba Tsukuba Japan.

Abstract

Aim: The Intensive Care Unit Trigger Tool (ICUTT) was developed to detect adverse events (AEs) in intensive care unit (ICU) patients. The purpose of this study was to determine the validity and reliability of the Japanese version of the ICUTT (ICUTT-J).

Methods: The translation of ICUTT was carried out based on the guideline for translation of instruments. Subsequently, two review teams independently reviewed 50 patients' medical records using the ICUTT-J, and agreement regarding the presence and number of AEs was evaluated to ensure reliability.

Results: The ICUTT-J was submitted to the authors of the original ICUTT, who confirmed it as being equivalent to the original version. The item-content validity index and scale-content validity index were 1.00 and 1.00, respectively. Interrater reliability showed moderate agreement of κ = 0.52 in terms of the presence of AEs and linear weighting of κ = 0.49 (95% confidence interval, 0.28, 0.71) in terms of the number of AEs.

Conclusion: This study's findings suggest that the ICUTT-J is valid and moderately reliable for use in ICUs.

Keywords: Adverse event; back‐translation; intensive care; trigger tool.