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Table 1 Working definition of “significant harm” in primary care

From: Identifying ‘avoidable harm’ in family practice: a RAND/UCLA Appropriateness Method consensus study

A patient harm outcome is symptomatic with one or all of the following:
required more intensive intervention than might otherwise have been required (e.g., additional operative procedure; additional therapeutic treatment); resulted in an escalation of care (e.g., hospital admission, more urgent review in a secondary or tertiary care setting); caused a loss of function of at least one bodily organ, which may have been temporary or permanent; and, death.