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  1. Leininger, Susan MSN, RN
  2. Laux, Lori MSN, RN-BC, CRNP
  3. McGonigal, Michelle DNP, RN, NE-BC
  4. Shiner, Darcy BSN, RN


Mortality rates have emerged as one of the main metrics determining quality of care within a hospital. In an effort to evaluate cases, this article illustrates the use of the Institute of Healthcare Improvement Global Trigger Tool as well as the implementation of a 3-prong review process in a large, urban teaching facility. In addition, the findings of the evaluation process are shared.