OFFICIAL: Sensitive – NSW Government
Hospital-acquired complications: Definition and selection HACs are complications for which clinical risk mitigation strategies may reduce the risk of occurrence. 1 The ACSQHC developed a national list of 16 high-priority complications, which formed the basis for a set of KPIs and improvement measures developed by NSW Health. These measures aim to broadly measure performance and enhance patient care across all healthcare facilities.
Below are the inclusion and exclusion criteria for this report:
Inclusions:
• Patients discharged by a Division of Surgery & Anaesthesia (DoSA) surgical consultant • Patients who were operated by a DoSA surgical consultant (includes admitted patients transferred to another medical specialty prior to discharge) • ASQHC HACs: 1 – 14 (see Appendix B) • Additional surgically relevant diagnoses/complications o Identified based on the diagnoses/complications associated with patients operated on in 2023
Exclusions:
• ASQHC HAC: 15 - Third- and fourth-degree perineal laceration during delivery • ASQHC HAC: 16 - Neonatal birth trauma
Interpretation considerations for this report:
• HACs do not have a time stamp, hence, unless the complication is specific to surgery, it is difficult to determine whether the complication occurred pre- or post-operatively. • For the visuals throughout this report, HACs 1-14 are classified under the parent diagnosis rather than specific diagnosis codes. Additional diagnoses, however, have been classified under specific diagnosis codes. • The reporting period is associated with the discharge date during this period as coding of the admission occurs after the patient is discharged. • Non-operative admissions are those with a DoSA discharge specialty where no operations were found to have occurred during that admission.
1 Definition of HACs per the Australian Commission on Safety and Quality in Health Care (ACSQHS) Australian Commission on Safety and Quality in Health Care, “Hospital-acquired complications (HACs)”, Australian Commission on Safety and Quality in Health Care, https://www.safetyandquality.gov.au/our-work/indicators-measurement-and- reporting/hospital-acquired-complications-hacs
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