National Healthcare Agreement: P41-Falls resulting in patient harm in hospitals, 2010
Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||Falls resulting in patient harm in hospitals, 2010|
|Description:||Falls occurring in health care settings and resulting in patient harm treated in hospital.|
|Indicator set:||National Healthcare Agreement (2010)|
Health, Superseded 08/06/2011
|Outcome area:||Hospital and Related Care|
National Health Performance Authority (retired), Retired 01/07/2016
Health, Standard 07/07/2010
|Quality statement:||National Healthcare Agreement: P41-Falls resulting in patient harm in hospitals, 2010 QS Health, Superseded 08/06/2011|
Collection and usage attributes
Falls as an external cause of external injury includes ICD-10-AM codes W00, W01, W03–W11, W13, W14, W16–W19. Excludes W02, W12 and W15.
Exclude from the numerator those separations where the ICD-10-AM code for the principal diagnosis is in the range of S00 to T14 (inclusive).
Exclude from the numerator those separations where the principal diagnosis has the ICD-10-AM code Z50.9 (Care involving use of rehabilitation procedure, unspecified) and the second diagnosis is in the range of S00 to T14 (inclusive).
Health service area code: Y92.22.Presented as number only, and per 1,000 separations.
Numerator only; and1,000 x (Numerator ÷ Denominator)
|Numerator:||Number of separations with an external cause code for fall and a place of occurrence of Health service area|
|Numerator data elements:|
|Denominator:||Total number of hospital separations.|
|Denominator data elements:|
|Disaggregation data elements:|
Specified disaggregation: Nationally and by state/territory: by Indigenous status, remoteness area and SEIFA of residence, and private/public hospital type.
Available disaggregation: Nationally and by state/territory: by Indigenous status, remoteness area and SEIFA of residence, and private/public hospital type.
Data for 2008-09 will be available in May 2010.Most recent data available for 2010 CRC baseline report: 2007-08.
|Unit of measure:||Episode|
Indicator conceptual framework
|Framework and dimensions:||Safety|
Data source attributes
Admitted Patient Care National Minimum Data Set (APC NMDS)
Australian Institute of Health and Welfare
|Reporting requirements:||National Healthcare Agreement|
|Organisation responsible for providing data:||Australian Institute of Health and Welfare|
|Further data development / collection required:|
Introduction of the condition onset flag from 2008–09 should allow refinement of this specification to limit the numerator to falls occurring in hospital, and exclude falls in health services areas occurring prior to admission. Use of the condition onset flag will replace the ‘place of occurrence’ variable in future years.
|Other issues caveats:|
Disaggregations within individual jurisdictions will be limited by data quality considerations. Some disaggregations may result in numbers too small for publication.
Excludes private hospitals in Tasmania, the ACT and NT.
The place of occurrence of ‘Health service area’ is not specific to hospitals, so may result in an overcount.
Interpretation of differences in rates needs to be undertaken taking into consideration potential effects of different casemix.
The quality of data on Indigenous status is not considered to be adequate for analysis purposes for the ACT and Tasmania.
The indicator will provide a count of separations involving one or more falls. It will not provide a count of falls.
Source and reference attributes
|Related metadata references:|
See also National Healthcare Agreement: P38-Adverse drug events in hospitals, 2010
See also National Healthcare Agreement: P39-Healthcare-associated Staphylococcus aureus (including MRSA) bacteraemia in acute care hospitals, 2010
See also National Healthcare Agreement: P40-Pressure ulcers in hospitals, 2010
See also National Healthcare Agreement: P42-Intentional self-harm in hospitals, 2010
See also National Healthcare Agreement: P43-Unplanned/unexpected readmissions within 28 days of selected surgical admissions, 2010
See also National Healthcare Agreement: P52-Falls resulting in patient harm in residential aged care, 2010
Has been superseded by National Healthcare Agreement: PI 41-Falls resulting in patient harm in hospitals, 2011
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