Most Canadians who access health services receive safe care. However, sometimes there are adverse effects to receiving care — unintended harm associated with the delivery of care that can result in prolonged hospital stay, disability or death.
CIHI is working to help understand the issues related to patient safety and the provision of safe care, and is undertaking a large body of work in this area. We are also helping to measure improvements in the safety of care provided. Our work includes a number of initiatives, from the development and reporting of indicators across the continuum of care to other quality and patient safety analyses and initiatives.
One initiative, in partnership with the Canadian Patient Safety Institute, is a project on patient safety in Canada’s acute care hospitals.
The resulting report introduces a new measure of potentially preventable harm in hospitals. The measure is linked to an improvement resource containing evidence-informed practices that can reduce the occurrence of harm.
The report, Measuring Patient Harm in Canadian Hospitals, provides an overview of the status of these patient safety events in Canada (outside of Quebec *), and identifies how the data and associated improvement resource can be used for improvement.
The Hospital Harm Improvement Resource is a compilation of resources to complement the Hospital Harm measure. It links measurement and improvement by providing evidence-informed resources that will support patient safety and improvement efforts.
We welcome your feedback and questions
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Patient safety information
CIHI reports on a number of indicators related to patient safety. Results are available publicly from the following links, and methodological notes are available in the Indicator Library:
Your Health System: In Depth
- In-Hospital Sepsis
- Obstetric Trauma (With Instrument)
- Potentially Inappropriate Use of Antipsychotics in Long-Term Care
- Falls in the Last 30 Days in Long-Term Care
- Worsened Pressure Ulcer in Long-Term Care
OECD Interactive Tool: International Comparisons
- Foreign Body Left In
- Post-Op Pulmonary Embolism: Hip and Knee
- Post-Op Sepsis: Abdonminal
- Obstetric Trauma: Instrument
- Obstetric Trauma: No Instrument
Additional hospital indicators
- In-Hospital Hip Fracture in Elderly (65+) Patients
- Nursing-Sensitive Adverse Events for Medical Patients
- Nursing-Sensitive Adverse Events for Surgical Patients
- Obstetric Trauma: Vaginal Delivery Without Instrument
Continuing Care Reporting System (CCRS)
Percentage of Residents Who Had a Newly Occuring Stage 2 to 4 Pressure UlcerCCRS Quick Stats
We welcome your feedback and questions on indicators. Contact us at firstname.lastname@example.org.
- Measuring Patient Harm in Canadian Hospitals (Oct 2016)
- Preventing Falls: Improving the Health and Quality of Life of Canadians (Oct. 2014)
- The Use of Selected Psychotropic Drugs Among Seniors on Public Drug Programs in Canada, 2001 to 2010 (Mar. 2012)
- Restraint Use and Other Control Interventions for Mental Health Inpatients in Ontario (Aug. 2011)
- Seniors and Falls (Dec. 2010) (PDF)
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 Canadian Patient Safety Institute (CPSI).
CIHI has a number of other health services databases that contain quality-of-care information. These are described in detail in Information on Types of Health Care.
Metadata is information about data. It helps users understand and interpret data from a specific source.