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An assessment of the harms of an intervention in a randomised clinical trial is more difficult than an assessment of the benefits, as harms can be unpredictable and harms events may be rare.
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According to meta-analysis, intervention group participants were slightly less likely to have suicidal and self-harm events than control group participants.
The Cancer Care Index (CCI), a single metric that sums the number of undesirable patient events in a given time frame (either preventable harm events or missed opportunities to provide optimal care), resulted in a 42% improvement in performance.
However, when studies assessed outcome at a later period than immediately after intervention, experimental group participants were slightly more likely to have suicidal and self-harm events than control group participants.
The data showed a 45percentt decline in "high harm" events over 10 years, from 2005 through 2014.
They found 158 emergency room visits for self-harm events among 111 patients.
†Approximate geometric mean number of self harm events.
We identified 48 incidents of harm, representing 21 harm events per 1000 patient days and 6 harm events per 100 consultations.
Kirkendall et al 7 found 37 harm events per 100 patients and 76 harm events per 1000 patient days, a significantly higher rate than in our patients.
Self-harm events are recorded in the hospital database using ICD-10 codes.
Much current discussion on harm events focuses on hospital acquired conditions (HAC) including the group historically known as "never events".
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