Patient safety

Patient safety jtseng_master

Most Canadians who access health services receive safe care. However, sometimes there are adverse effects from receiving care — unintended harm associated with the delivery of care that can result in a prolonged hospital stay, disability or death.

CIHI provides timely and comparable data and information to guide decisions on patient safety and the provision of safe care. Our work includes a number of initiatives, such as the development and reporting of indicators across the continuum of care and quality and patient safety analyses. Explore information on patient safety, including indicators, data tables, reports and other key resources.

Featured material

Hospital Harm Project

Learn more about a patient safety measure of potentially preventable hospital harm in Canada, and how it is linked to evidence-informed practices.

Indicators

See all indicators

Reports and releases

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Patient safety: Reports and releases

Patient safety: Reports and releases jtseng_master

This page lists patient safety reports, stories, infographics and release summaries.

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Connected care

CIHI is working with stakeholders to develop standards that enable connected care and health data interoperability in Canada.

Hospital Harm Project

Learn more about a patient safety measure of potentially preventable hospital harm in Canada, and how it is linked to evidence-informed practices.

Patient harm in Canadian hospitals? It does happen.

This infographic describes the Hospital Harm indicator, which captures occurrences of unintended harm during a hospital stay that could have been potentially prevented.

Canadian Data Set of COVID-19 Interventions

Explore information on selected interventions (policies and other measures) across Canada to stop the spread of and improve health outcomes related to COVID-19 (coronavirus disease).

Hospital Harm Report (PDF)

Catalogue of patient safety information in CIHI's data holdings and publicly available products.

Patient safety: Data tables

Patient safety: Data tables jtseng_master

This page lists data tables that provide information about patient safety.

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Hospital Harm Results, 2014–2015 to 2022–2023 (XLSX)

​The Hospital Harm indicator captures occurrences of unintended harm during a hospital stay that could have been potentially prevented by implementing known best practices. The indicator includes 31 clinical groups that fall under 4 categories of harm:…

Patient safety: Indicators

Patient safety: Indicators jtseng_master

This page lists CIHI’s Patient Safety indicators.

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Hospital Harm

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

In-Hospital Sepsis

This indicator calculates the risk-adjusted rate of in-hospital sepsis per 1,000 discharges.

Obstetric Trauma (With Instrument)

This indicator measures the rate of obstetric trauma (lacerations that are third degree or greater in severity) for instrument-assisted vaginal deliveries.

Patient safety: Tools

Patient safety: Tools jtseng_master

This page lists CIHI’s performance reporting tools that contain patient safety data.

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Canadian COVID-19 Intervention Timeline

Selected interventions (policies and other measures) to reduce the spread of and improve health outcomes from COVID-19 by jurisdiction (Canada, province, territory), including case counts.

Data Preview for Indicators Tool

The Data Preview for Indicators web tool is used by stakeholders to review or validate their indicator results before they are made publicly available.

Your Health System: In Depth

Explore Canadian health care and compare interactive data by hospital, long-term care organization, region and more

Your Health System: Insight

Your Health System: Insight is an analytical tool that allows health care providers and analysts to dig deeper into indicator results. Find out more about what Insight can offer, how to get access and the data refresh schedule.

Patient safety: Data holdings

Patient safety: Data holdings jtseng_master

The National System for Incident Reporting (NSIR) is a free, web-based reporting system used by Canadian health care facilities to securely and anonymously share, analyze and discuss medication and IV fluid incidents. NSIR data and analyses inform quality improvement activities at all levels — from ward or unit projects to pan-Canadian initiatives — to foster improvements in health care delivery.

The Canadian Medication Incident Reporting and Prevention System (CMIRPS) is a collaborative pan-Canadian program of Health Canada, the Canadian Institute for Health Information (CIHI), the Institute for Safe Medication Practices Canada (ISMP Canada) and the Healthcare Excellence Canada (HEC).

CIHI has a number of other health services databases that contain quality-of-care information. More information can be found at CIHI’s Data Holdings webpage.

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Patient safety: News and podcasts

Patient safety: News and podcasts jtseng_master

This page contains media releases, bulletins and podcast episodes about patient safety.

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Emergency Departments in Crisis — Dr. Fraser Mackay and David Leary

In this episode of the CHIP, we are joined by Dr. Fraser Mackay, an emergency physician, and David Leary, a veteran paramedic, to discuss the ongoing crisis gripping emergency departments across the country, the impact on workers and patients, and what’s…

Frailty in Canada — Dr. Marcel Émond

In this episode of the CHIP, guest host Jeanie Lacroix speaks with Dr. Marcel Émond, certified emergency physician at the level-1 trauma centre of the CHU de Québec — Hôpital de l’Enfant-Jésus, about the risks of frailty.

Frailty in Canada — Dr. Kenneth Rockwood

On this episode of the CHIP, host Avis Favaro speaks with Dr. Kenneth Rockwood, clinical research professor of frailty and aging at Dalhousie University, about the risks of frailty.

Unintended harms: How CIHI is helping Canadians receive safer care

Health systems across the country continuously strive to make Canadian health care safer. Learn how we help these efforts through an interview with Yana Gurevich, manager of Health Indicators and Client Support, and Mélanie Josée Davidson, director of…

Patient safety: Education resources

Patient safety: Education resources jtseng_master

Through our Learning Centre, CIHI provides opportunities for health professionals to understand our evolving reporting systems and the application of our standards, data and analytics. We offer many courses and resources for a variety of audiences, including clinicians, assessors, data submitters and analysts, decision-makers, policy planners and researchers.

Courses and resources are available in a variety of formats, including eLearning modules, PDF and page-based documents, live and recorded web conferences, and videos.

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With 300 learning products in a variety of areas, we’re sure to have something that meets your needs — and our online courses will always fit your schedule.

Visit the Education page 

Other education resources

Resources offered through CIHI include the following:

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Connected care — Video (Video)

This video explains what connected care is, how it will improve Canadians’ experiences with their health system and how CIHI is working with stakeholders to make this vision a reality.

COVID-19: Locating the ICD-10-CA/CCI Code (PDF)

​This job aid identifies the correct ICD-10-CA/CCI code for a COVID-19–related episode of care and is to be used with the Pandemics and Epidemics (COVID-19) addendum to the Canadian Coding Standards.

CIHI Portal CMDB Metadata Dictionary (PDF)

​​Use this document to plan for report building and to understand attributes and metrics used to create reports with Portal’s Canadian MIS Database (CMDB) project.

Post-Intervention Condition: Locating the Primary Code (PDF)

​This job aid provides guidance in locating the correct ICD-10-CA primary code assignment for conditions or symptoms that meet the criteria for a post-intervention condition.

Systemic Inflammatory Response Syndrome (PDF)

​This job aid shows how to code possible scenarios that may occur in a patient with systemic inflammatory response syndrome (SIRS).

Strokes Anatomy Job Aid

​This job aid provides diagrams of brain anatomy that are relevant to hemorrhagic stroke, ischemic stroke and stroke due to embolism.