Summary

This report provides insight into injuries that occur during a period of hospitalisation – referred to as hospital-onset injuries. This report complements existing reporting on hospital-acquired complications required by the Australian Commission on Safety and Quality in Health Care – such as pressure injuries, medication complications, and neonatal birth trauma – which are already routinely monitored. See Hospital-acquired complications - Hospitals and ‘Safety and quality of health systems’ data tables available from Admitted patient care - Hospitals.

The average annual rate of hospital-onset injury from 2015–16 to 2024–25 was 55 per 10,000 separations (1 in 182 separations). From 2015–16 to 2019–20, the hospital-onset injury rate fell from 64 to 50 per 10,000 separations and has remained stable up to 2024–25.

  • Hospital-onset injury rates varied according to health service and clinical characteristics, and population groups

  • The rate was highest for patient groups with longer hospitalisations, such as:

    • those receiving sub-acute and non-acute care types (164 per 10,000 separations in 2024–25)
    • patients who took leave days (389 per 10,000 in 2024–25).
  • The rate was lower for hospitals located in Remote and very remote areas – 34 and 32 per 10,000 separations in 2024–25, respectively.

  • The rate has been similar for First Nations and non-Indigenous Australians since 2017–18.

    In 2024–25, the rate was 55 and 54 per 10,000 separations for Indigenous and non-Indigenous populations, respectively.

  • Falls were the most common cause of hospital-onset injury

  • Falls make up about half of all hospital-onset injuries each year. In 2024–25:

    • 55% of fall-related injuries were open wounds or superficial injuries
    • 9% were fractures and 3% intracranial injuries.
  • The likelihood of sustaining fractures or open wounds from falls increased with age.

    Younger individuals more often experienced superficial injuries.

  • Admitted patients with hospital-onset injury had worse outcomes than those without

  • Patients with hospital-onset injuries had a median length of stay 11 days longer than those without hospital-onset injuries.

  • Patients with hospital-onset injuries were about 5 times as likely to require ICU admission and had higher rates of statistical discharge, acute hospital transfer, discharge to residential aged care, or in-hospital death than those without injury.

While hospital-onset injuries were associated with poorer outcomes, the findings highlight the importance of considering other risk factors – such as age and medical complexity – when assessing the impact of hospital-onset injuries on patient results. Patients who experience hospital-onset injuries may already have underlying risk factors that predispose them to poorer outcomes independent of the injury.