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Let’s broaden our understanding of harm, together

Recognizing and reducing healthcare harm matters to those receiving and delivering care in any setting. As part of championing Rethinking Patient Safety, we encourage everyone to broaden their understanding of healthcare harm as an important step in delivering safer care for all.

Start exploring harm

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A complex healthcare system

Healthcare is incredibly complex. It is delivered by many different people engaging with many processes across various settings and through transitions in care. Sometimes, things go wrong — and this may result in harm. The factors involved can be multiple and varied.

Defences

The system as a whole is safe because it involves multiple layers of defence that combine and overlap to support the safe delivery of care.

Contributing factors

The defences that help promote safe care, when missing or weakened, can become contributing factors when things go wrong. Contributing factors are often interrelated, complex and rarely the result of a single issue. Examples include:

Categories of safety incidents

Incidents can result from a variety of actions or inactions while receiving and delivering care. These safety incidents can be broadly classified as:

Harm experienced by a person

Harm can include more than physical injuries. The person who experiences harm is often best positioned to define and describe it.

Physical
Psychological
Social
Spritual

Person experiencing harm 

People receiving and delivering healthcare across the continuum can experience harm.

Patients, residents and clients
Care partners
Clinical and non-clinical staff
Community members
Others
Impact of harm

Impact of harm

Healthcare harm can have cascading and long-lasting impacts on people and communities. Understanding and supporting those harmed by the healthcare system can help restore trust and contribute to healing. Their ongoing involvement is essential to shape our approach to safer care.