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National Healthcare Agreement: P41-Falls resulting in patient harm in hospitals, 2010

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termFalls resulting in patient harm in hospitals, 2010
METeOR identifier:Help on this term395076
Registration status:Help on this termHealth, Superseded 08/06/2011
Description:Help on this termFalls occurring in health care settings and resulting in patient harm treated in hospital.
Indicator set:Help on this termNational Healthcare Agreement (2010) Health, Superseded 08/06/2011
Outcome area:Help on this termHospital and Related Care Health, Standard 07/07/2010
National Health Performance Authority (retired), Retired 01/07/2016
Quality statement:Help on this termNational Healthcare Agreement: P41-Falls resulting in patient harm in hospitals, 2010 QS Health, Superseded 08/06/2011

Collection and usage attributes

Computation description:Help on this term

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.
Computation:Help on this term

Numerator only; and

1,000 x (Numerator ÷ Denominator)
Numerator:Help on this termNumber of separations with an external cause code for fall and a place of occurrence of Health service area
Numerator data elements:Help on this term
Data Element / Data SetPerson—person identifier, XXXXXX[X(14)]
Data Source
Admitted Patient Care National Minimum Data Set (APC NMDS)
NMDS / DSS
Admitted patient care NMDS 2007-08
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEpisode of admitted patient care—condition onset flag, code N
Data Source
Admitted Patient Care National Minimum Data Set (APC NMDS)
NMDS / DSS
Admitted patient care NMDS 2007-08
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetInjury event—external cause, code (ICD-10-AM 5th edn) ANN{.N[N]}
Data Source
Admitted Patient Care National Minimum Data Set (APC NMDS)
NMDS / DSS
Admitted patient care NMDS 2007-08
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetInjury event—place of occurrence, code (ICD-10-AM 5th edn) ANN{.N[N]}
Data Source
Admitted Patient Care National Minimum Data Set (APC NMDS)
NMDS / DSS
Admitted patient care NMDS 2007-08
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEpisode of care—principal diagnosis, code (ICD-10-AM 5th edn) ANN{.N[N]}
Data Source
Admitted Patient Care National Minimum Data Set (APC NMDS)
NMDS / DSS
Admitted patient care NMDS 2007-08
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEpisode of care—additional diagnosis, code (ICD-10-AM 5th edn) ANN{.N[N]}
Data Source
Admitted Patient Care National Minimum Data Set (APC NMDS)
NMDS / DSS
Admitted patient care NMDS 2007-08
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEpisode of admitted patient care—admission date, DDMMYYYY
Data Source
Admitted Patient Care National Minimum Data Set (APC NMDS)
NMDS / DSS
Admitted patient care NMDS 2007-08
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEpisode of admitted patient care—separation date, DDMMYYYY
Data Source
Admitted Patient Care National Minimum Data Set (APC NMDS)
NMDS / DSS
Admitted patient care NMDS 2007-08
Guide for use
Data source type: Administrative by-product data
Denominator:Help on this termTotal number of hospital separations.
Denominator data elements:Help on this term
Data Element / Data SetEpisode of admitted patient care—admission date, DDMMYYYY
Data Source
Admitted Patient Care National Minimum Data Set (APC NMDS)
NMDS / DSS
Admitted patient care NMDS 2007-08
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEpisode of admitted patient care—separation date, DDMMYYYY
Data Source
Admitted Patient Care National Minimum Data Set (APC NMDS)
NMDS / DSS
Admitted patient care NMDS 2007-08
Guide for use
Data source type: Administrative by-product data
Disaggregation data elements:Help on this term
Data Element / Data SetPerson—Indigenous status, code N
Data Source
Admitted Patient Care National Minimum Data Set (APC NMDS)
NMDS / DSS
Admitted patient care NMDS 2007-08
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetPerson—area of usual residence, geographical location code (ASGC 2006) NNNNN
Data Source
Admitted Patient Care National Minimum Data Set (APC NMDS)
NMDS / DSS
Admitted patient care NMDS 2007-08
Guide for use
Data source type: Administrative by-product data
Used for disaggregation by remoteness area and SEIFA of residence
Data Element / Data SetEstablishment—sector, code N
Data Source
Admitted Patient Care National Minimum Data Set (APC NMDS)
NMDS / DSS
Admitted patient care NMDS 2007-08
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—Australian state/territory identifier, code N
Data Source
Admitted Patient Care National Minimum Data Set (APC NMDS)
NMDS / DSS
Admitted patient care NMDS 2007-08
Guide for use
Data source type: Administrative by-product data
Used for disaggregation by state/territory (public and private hospitals)
Comments:Help on this term

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.

Representational attributes

Representation class:Help on this termRate
Data type:Help on this termReal
Unit of measure:Help on this termEpisode
Format:Help on this termN.N

Indicator conceptual framework

Framework and dimensions:Help on this termSafety

Data source attributes

Data sources:Help on this term
Data SourceAdmitted Patient Care National Minimum Data Set (APC NMDS)
Frequency
Annual
Data custodian
Australian Institute of Health and Welfare

Accountability attributes

Reporting requirements:Help on this termNational Healthcare Agreement
Organisation responsible for providing data:Help on this termAustralian Institute of Health and Welfare
Further data development / collection required:Help on this term

Specification: Interim

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:Help on this term

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.

Relational attributes

Related metadata references:Help on this term

See also National Healthcare Agreement: P38-Adverse drug events in hospitals, 2010 Health, Superseded 08/06/2011

See also National Healthcare Agreement: P39-Healthcare-associated Staphylococcus aureus (including MRSA) bacteraemia in acute care hospitals, 2010 Health, Superseded 08/06/2011

See also National Healthcare Agreement: P40-Pressure ulcers in hospitals, 2010 Health, Superseded 08/06/2011

See also National Healthcare Agreement: P42-Intentional self-harm in hospitals, 2010 Health, Superseded 08/06/2011

See also National Healthcare Agreement: P43-Unplanned/unexpected readmissions within 28 days of selected surgical admissions, 2010 Health, Superseded 08/06/2011

See also National Healthcare Agreement: P52-Falls resulting in patient harm in residential aged care, 2010 Health, Superseded 08/06/2011

Has been superseded by National Healthcare Agreement: PI 41-Falls resulting in patient harm in hospitals, 2011 Health, Superseded 31/10/2011

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