This report introduces the work undertaken to develop a new measure of hospital harm that is linked to evidence-informed practices.
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- Pages
- 70
- Published in
- Canada
Table of Contents
- Table of contents 3
- Definitions and scope 5
- Background 5
- Definition 5
- Hospital Harm Framework 6
- Scope of the measure 7
- Clinical group selection 7
- Category A: Health Care–/Medication-Associated Conditions 7
- Category B: Health Care–Associated Infections 8
- Category C: Patient Accidents 8
- Category D: Procedure-Associated Conditions 8
- General methodology 8
- Data source 8
- Denominator: Hospital discharges 9
- Inclusion criteria 9
- Exclusion criteria 9
- Numerator: Discharges with at least 1 occurrence of harm 9
- Counting harm 9
- Complexity score 10
- Additional resource estimates 11
- Costing 11
- Bed days 12
- Clinical groups: Definition, concept and methodology 13
- Category A: Health Care–/Medication-Associated Conditions 13
- A01: Anemia — Hemorrhage 13
- A02: Obstetric Hemorrhage 14
- A03: Obstetric Trauma 16
- A04: Birth Trauma 18
- A05: Delirium 20
- A06: Venous Thromboembolism 21
- A07: Altered Blood Glucose Level With Complications 22
- A08: Pressure Ulcer 23
- A09: Electrolyte and Fluid Imbalance 23
- A10: Medication Incidents 24
- A11: Infusion, Transfusion and Injection Complications 25
- Category B: Health Care–Associated Infections 26
- B12: Urinary Tract Infections 26
- B13: Post-Procedural Infections 27
- B14: Gastroenteritis 28
- B15: Pneumonia 29
- B16: Aspiration Pneumonia 31
- B17: Sepsis 32
- B18: Infections Due to Clostridium difficile, MRSA or VRE 35
- Category C: Patient Accidents 37
- C19: Patient Trauma 38
- Category D: Procedure-Associated Conditions 39
- D01: Anemia — Hemorrhage 39
- D02: Obstetric Hemorrhage 39
- D03: Obstetric Trauma 41
- D04: Birth Trauma 43
- D19: Patient Trauma 45
- D20: Device Failure 46
- D21: Laceration/Puncture 48
- D22: Pneumothorax 48
- D23: Wound Disruption 49
- D24: Retained Foreign Body 49
- D25: Post-Procedural Shock 50
- D26: Selected Serious Events 50
- Appendix 1: Definition of diagnosis type and diagnosis cluster 52
- Appendix 2: Code descriptions 53
- Appendix 3: List of ICD-10-CA infection codes 56
- Appendix 4: Text alternative for Hospital Harm Framework 67
- References 68
