National Healthcare Agreement: PI 41-Falls resulting in patient harm in hospitals, 2012

Identifying and definitional attributes

Metadata item type:Indicator
Indicator type:Progress measure
Short name:PI 41-Falls resulting in patient harm in hospitals, 2012
METeOR identifier:443705
Registration status:Health, Retired 25/06/2013
Description:Fall occurring in health care settings and resulting in patient harm treated in hospital.
Indicator set:National Healthcare Agreement (2012) Health, Superseded 25/06/2013
Outcome area:Hospital and Related Care Health, Standard 07/07/2010
National Health Performance Authority (retired), Retired 01/07/2016
Quality statement:National Healthcare Agreement: PI 41-Falls resulting in patient harm in hospitals, 2012 QS Health, Retired 14/01/2015

Collection and usage attributes

Computation description:

Health service area code:Y92.22.

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).

Analysis by state and territory is based on location of service.

Analysis by remoteness and SEIFA Index of Relative Socioeconomic Disadvantage (IRSD) is based on usual residence of person.

Presented as:

  • number, and
  • per 1,000 separations.
Computation:

Number

1,000 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:
Data Element / Data SetPerson—person identifier, XXXXXX[X(14)]
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2009-10
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
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2009-10
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetInjury event—external cause, code (ICD-10-AM 6th edn) ANN{.N[N]}
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2009-10
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetInjury event—place of occurrence, code (ICD-10-AM 6th edn) ANN{.N[N]}
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2009-10
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEpisode of care—principal diagnosis, code (ICD-10-AM 6th edn) ANN{.N[N]}
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2009-10
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEpisode of care—additional diagnosis, code (ICD-10-AM 6th edn) ANN{.N[N]}
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2009-10
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEpisode of admitted patient care—admission date, DDMMYYYY
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2009-10
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEpisode of admitted patient care—separation date, DDMMYYYY
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2009-10
Guide for use
Data source type: Administrative by-product data
Denominator:Total number of hospital separations
Denominator data elements:
Data Element / Data SetEpisode of admitted patient care—admission date, DDMMYYYY
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2009-10
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEpisode of admitted patient care—separation date, DDMMYYYY
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2009-10
Guide for use
Data source type: Administrative by-product data
Disaggregation:

2009-10—Nationally, by SEIFA Index of Relative Socioeconomic Disadvantage (IRSD) deciles

2009-10—State and territory, by:

  • hospital sector
  • Indigenous status
  • remoteness (Australian Standard Geographic Classification Remoteness Structure)
  • SEIFA IRSD quintiles

Some disaggregations may result in numbers too small for publication. National disaggregation by Indigenous status will be based on data only from jurisdictions for which the quality of Indigenous identification is considered acceptable.

Disaggregation data elements:
Data Element / Data SetPerson—Indigenous status, code N
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2009-10
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetPerson—area of usual residence, geographical location code (ASGC 2008) NNNNN
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2009-10
Guide for use
Data source type: Administrative by-product data
Used for disaggregation by remoteness area and SEIFA IRSD
Data Element / Data SetEstablishment—sector, code N
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2009-10
Guide for use
Data source type: Administrative by-product data
Data Element / Data SetEstablishment—Australian state/territory identifier, code N
Data Source
National Hospital Morbidity Database (NHMD)
NMDS / DSS
Admitted patient care NMDS 2009-10
Guide for use
Data source type: Administrative by-product data
Used for disaggregation by state/territory (public and private hospitals)
Comments:

Most recent data available for 2012 CRC report: 2009–10

The scope of the National Hospital Morbidity Database (NHMD) is episodes of care for admitted patients in essentially all hospitals in Australia, including public and private acute and psychiatric hospitals, free-standing day hospital facilities, alcohol and drug treatment hospitals and dental hospitals. 

Representational attributes

Representation class:Rate
Data type:Real
Unit of measure:Episode
Format:N.N

Indicator conceptual framework

Framework and dimensions:Safety

Data source attributes

Data sources:
Data SourceNational Hospital Morbidity Database (NHMD)
Frequency
Annual
Data custodian

Australian Institute of Health and Welfare


Accountability attributes

Reporting requirements:National Healthcare Agreement
Organisation responsible for providing data:Australian Institute of Health and Welfare
Further data development / collection required:

Specification: Interim

Relational attributes

Related metadata references:

See also National Healthcare Agreement: PB 06-The rate of Staphylococcus aureus (including MRSA) bacteraemia is no more than 2.0 per 10,000 occupied bed days for acute care public hospitals by 2011–12 in each state and territory, 2012 Health, Superseded 25/06/2013

See also National Healthcare Agreement: PI 38-Adverse drug events in hospitals, 2012 Health, Retired 25/06/2013

See also National Healthcare Agreement: PI 39-Healthcare-associated Staphylococcus aureus (including MRSA) bacteraemia in acute care hospitals, 2012 Health, Superseded 25/06/2013

See also National Healthcare Agreement: PI 40-Pressure ulcers in hospitals, 2012 Health, Retired 25/06/2013

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

See also National Healthcare Agreement: PI 42-Intentional self-harm in hospitals, 2012 Health, Retired 25/06/2013

See also National Healthcare Agreement: PI 43-Unplanned/unexpected readmissions within 28 days of selected surgical episodes of care, 2012 Health, Superseded 25/06/2013

See also National Healthcare Agreement: PI 52-Falls in residential aged care resulting in patient harm and treated in hospital, 2012 Health, Retired 25/06/2013