Table 16_6_4-1

2008 National Healthcare Quality and Disparities Reports

The National Healthcare Quality Report (NHQR) is a comprehensive national overview of quality of health care in the United States. It is organized around four dimensions of quality of care: effectiveness, patient safety, timeliness, and patient centeredness.

Table 16_6_4.1
Accidental puncture or laceration during procedure per 1,000 discharges (excluding obstetric admissions, normal newborns, and neonates with a birth weight less than 500 grams),^a under age 18, by race/ethnicity, United States, 2005
Population group		Total		Non-Hispanic						Hispanic, all races
		Total		White		Black		API		Hispanic, all races
		Rate^b	SE	Rate^b	SE	Rate^b	SE	Rate^b	SE	Rate^b	SE
Total		0.90	0.02	0.96	0.02	0.79	0.04	0.84	0.10	0.77	0.04
Age	0–4	0.79	0.02	0.85	0.03	0.65	0.05	0.67	0.11	0.66	0.04
	5–9	0.88	0.05	0.84	0.07	0.88	0.15	*	*	0.93	0.12
	10–14	1.31	0.05	1.44	0.07	1.23	0.14	*	*	1.01	0.13
	15–17	1.11	0.06	1.16	0.07	1.04	0.14	1.81	0.38	0.88	0.14
Gender	Male	1.01	0.02	1.11	0.03	0.85	0.06	0.88	0.14	0.84	0.05
Gender	Female	0.73	0.02	0.77	0.03	0.71	0.06	0.63	0.13	0.60	0.05
Median income of patient's ZIP Code	First quartile (lowest income)	0.92	0.03	1.09	0.05	0.85	0.06	*	*	0.69	0.06
	Second quartile	0.88	0.04	0.89	0.05	0.80	0.09	1.08	0.24	0.82	0.08
	Third quartile	0.94	0.03	1.02	0.04	0.67	0.10	0.88	0.21	0.87	0.08
	Fourth quartile (highest income)	0.85	0.03	0.87	0.04	0.69	0.13	0.71	0.15	0.76	0.10
Location of patient residence	Large central metropolitan	0.88	0.03	0.92	0.05	0.82	0.06	0.82	0.14	0.80	0.05
	Large fringe metropolitan	0.85	0.03	0.86	0.04	0.74	0.10	0.92	0.21	0.92	0.10
	Medium metropolitan	0.86	0.04	0.96	0.05	0.80	0.11	*	*	0.63	0.08
	Small metropolitan	1.06	0.06	1.08	0.07	1.05	0.17	*	*	1.01	0.16
	Micropolitan (nonmetro)	0.98	0.06	1.08	0.06	*	*	*	*	*	*
	Noncore (nonmetro)	0.99	0.07	1.08	0.08	*	*	*	*	*	*
Expected payment source	Private insurance	0.94	0.02	0.98	0.03	0.89	0.08	0.80	0.13	0.90	0.07
	Medicare	0.91	0.27	*	*	*	*	*	*	*	*
	Medicaid	0.79	0.03	0.88	0.04	0.69	0.06	0.83	0.20	0.65	0.05
	Other insurance	1.20	0.07	1.06	0.10	1.42	0.18	1.78	0.41	1.08	0.12
	Uninsured/self-pay/no charge	0.87	0.10	1.03	0.15	*	*	*	*	0.70	0.18
Region of inpatient treatment	Northeast	0.87	0.04	0.92	0.05	0.83	0.10	0.85	0.20	0.64	0.10
	Midwest	1.07	0.03	1.09	0.04	0.97	0.08	1.32	0.32	*	*
	South	0.67	0.03	0.78	0.04	0.64	0.06	*	*	0.51	0.06
	West	1.08	0.04	1.05	0.05	0.91	0.14	0.87	0.14	1.11	0.06
Ownership/control of hospital	Private, not for profit	0.93	0.02	0.97	0.02	0.80	0.05	0.84	0.11	0.85	0.04
	Private, for profit	0.64	0.06	0.76	0.09	*	*	*	*	0.51	0.11
	Public	0.83	0.05	0.95	0.07	0.75	0.11	1.31	0.36	0.53	0.10
Teaching status of hospital	Teaching	0.99	0.02	1.04	0.03	0.84	0.05	1.01	0.13	0.93	0.05
Teaching status of hospital	Nonteaching	0.76	0.03	0.85	0.03	0.69	0.07	0.61	0.16	0.56	0.06
Location of hospital	Large central metropolitan	0.88	0.02	0.89	0.03	0.80	0.05	0.79	0.12	0.85	0.04
	Large fringe metropolitan	0.69	0.05	0.70	0.07	0.63	0.14	1.14	0.31	0.58	0.15
	Medium metropolitan	0.94	0.04	1.12	0.04	0.72	0.10	*	*	0.52	0.09
	Small metropolitan	1.02	0.07	0.98	0.08	1.19	0.19	*	*	1.03	0.24
	Micropolitan (nonmetro)	1.15	0.09	1.22	0.10	*	*	*	*	*	*
	Noncore (nonmetro)	1.60	0.18	1.97	0.20	*	*	*	*	*	*
Bed size of hospital	Less than 100	1.10	0.08	1.32	0.10	*	*	*	*	0.74	0.18
	100–299	0.94	0.03	0.91	0.04	0.97	0.08	1.18	0.16	0.86	0.06
	300–499	0.79	0.03	0.88	0.04	0.67	0.08	*	*	0.63	0.07
	500 or more	0.92	0.03	1.02	0.04	0.75	0.07	1.03	0.19	0.77	0.07

^a Also excludes admissions specifically for such problems, such as cases from earlier admissions or from other hospitals.

^b Rates are adjusted by age, gender, diagnosis-related group (DRG) and major diagnostic category (MDC) groups, and comorbidities, and stratified by six clinical categories and seven procedure types (distinguishing minor and major procedures and quantity).

* - Data do not meet the criteria for statistical reliability, data quality, or confidentiality.

Key: API: Asian or Pacific Islander; SE: standard error.

Source: Agency for Healthcare Research and Quality, Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, State Inpatient Databases, disparities analysis file, 2005. This file is designed to provide national estimates on disparities using weighted records from a sample of hospitals from the following 23 States: AR, AZ, CA, CO, CT, FL, GA, HI, KS, MA, MD, MI, MO, NH, NJ, NY, OK, RI, SC, TN, TX, VT, and WI.

Current as of September 2009

Internet Citation: Table 16_6_4-1: 2008 National Healthcare Quality and Disparities Reports. September 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr08/16_prioritypopulations/T16_6_4-1.html