This report discusses the measure of potentially preventable harm in hospitals and provides an overview of the status of these patient safety events in Canada.
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- Pages
- 50
- Published in
- Canada
Table of Contents
- Table of contents 3
- Acknowledgements 4
- Clinical experts 5
- Pioneer organizations 6
- Herbert’s story 8
- Introduction 9
- Hospital harm: A broader look at patient safety 12
- Definition 12
- Source of data 15
- Hospital harm rates may never be zero 17
- Harmful events in Canadian hospitals 17
- Harm experienced in 1 of every 18 hospitalizations 17
- Harmful events occur across all types of care 19
- Patients experience different types of harm 20
- Some patients experience more than 1 harmful event in hospital 25
- Complex patients are at higher risk of harm 25
- 1 in 8 hospitalizations with a harmful event ends in death 28
- Reducing harmful events could free up resources for unmet needs 29
- What can be done to improve patient safety? 30
- Clinical evidence-informed practices for reducing harm: Working together for safer care 30
- Actions to reduce harmful events 31
- What organizations can do to improve safety 34
- Limitations 37
- Conclusions 38
- Appendix A: Assessing the quality of Hospital Harm data 40
- Appendix B: Text alternative for figures 42
- References 47
