Hospital Harm

Identifying Attributes

Care Settings
Hospital Care
Country
Canada
Publishing Organisation
Canadian Institute for Health Information (CIHI)
Type of Quality Indicator
Outcome
IOM Quality Dimension
Safety
Domain
Complications and Adverse Events

Defining Attributes

Definition

This indicator measures the rate of acute care hospitalisations with at least one occurrence of unintended harm during a hospital stay that could potentially have been prevented, per 100 discharges.

Numerator

A subset of the denominator: discharges with at least one occurrence of harm identified during the hospital stay.

Denominator

Number of discharges from an acute care institution in a fiscal year.

Exclusions

• Discharges from Quebec acute care institutions • Records with admission category of stillbirths and cadaveric donors (Admission Category Code = R or S) • Discharges with invalid age, admission date or discharge date • Discharges with selected mental health diagnoses (i.e., most responsible diagnosis ICD-10-CA codes F10–F99). In Ontario, mental health discharges are submitted to the Ontario Mental Health Reporting System (OMHRS) and are therefore not in the Discharge Abstract Database (DAD). In order to create a standard hospital population, discharges with mental health disorders (with the exception of organic mental health disorders — ICD-10-CA codes F00–F09) were excluded from all provinces. • 2018–2019 data onward: Medical assistance in dying (MAID) (Discharge Disposition Code = 73)

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

By patient group; Surgical [MCC partition code = I (intervention)], Medical [MCC partition code = D (diagnosis)]

Collection and Reporting Attributes

Type of Data Collection
Administrative data, Standardised clinical data
Data Collection Methods

Discharge Abstract Database (DAD)

Frequency of Data Collection
Annually
Frequency of Data Collection in Days
365
Reporting Methods

Online tool: Your Health System

Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No

Source and Reference Attributes

Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025