Table 21_1_4-1a

2009 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 21_1_4.1a
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, 2006
				Non-Hispanic
		Total		White		Black		API		Hispanic, all races
Population group		Rate^b	SE	Rate^b	SE	Rate^b	SE	Rate^b	SE	Rate^b	SE
Total		0.85	0.02	0.89	0.02	0.77	0.04	1.16	0.09	0.71	0.03
Age	0–4	0.73	0.02	0.77	0.02	0.69	0.04	0.93	0.10	0.57	0.04
	5–9	0.89	0.05	0.85	0.06	0.97	0.13	1.33	0.28	0.79	0.10
	10–14	1.19	0.05	1.26	0.07	0.96	0.13	2.28	0.34	0.97	0.12
	15–17	1.18	0.05	1.19	0.07	0.91	0.13	1.45	0.36	1.35	0.13
Gender	Male	0.92	0.02	0.98	0.03	0.86	0.05	1.21	0.13	0.73	0.05
Gender	Female	0.73	0.02	0.77	0.03	0.67	0.06	0.95	0.12	0.63	0.04
Median income of patient's ZIP code	First quartile (lowest income)	0.83	0.03	0.90	0.05	0.83	0.06	1.17	0.23	0.69	0.05
	Second quartile	0.82	0.03	0.88	0.04	0.64	0.08	1.39	0.21	0.70	0.07
	Third quartile	0.87	0.03	0.89	0.04	0.79	0.09	1.18	0.17	0.64	0.07
	Fourth quartile (highest income)	0.88	0.03	0.88	0.04	0.78	0.12	1.03	0.15	0.94	0.10
Location of patient residence	Large central metropolitan	0.88	0.03	0.92	0.05	0.93	0.06	1.10	0.13	0.76	0.05
	Large fringe metropolitan	0.74	0.03	0.72	0.04	0.71	0.08	0.89	0.20	0.69	0.09
	Medium metropolitan	0.81	0.03	0.86	0.04	0.75	0.10	1.41	0.19	0.58	0.07
	Small metropolitan	1.14	0.05	1.31	0.06	0.61	0.15	2.88	0.52	0.64	0.14
	Micropolitan (nonmetro)	0.82	0.05	0.89	0.06	DSU	DSU	DSU	DSU	0.72	0.16
	Noncore (nonmetro)	0.82	0.06	0.85	0.07	DSU	DSU	DSU	DSU	1.13	0.23
Expected payment source	Private insurance	0.90	0.02	0.90	0.03	0.93	0.07	1.09	0.12	0.73	0.07
	Medicare	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU	DSU
	Medicaid	0.78	0.02	0.86	0.04	0.73	0.05	1.16	0.16	0.66	0.04
	Other insurance	0.94	0.07	1.02	0.10	0.61	0.18	2.42	0.42	0.80	0.12
	Uninsured/self-pay/no charge	0.85	0.09	0.70	0.14	DSU	DSU	DSU	DSU	1.13	0.17
Region of inpatient treatment	Northeast	0.84	0.04	0.77	0.05	0.90	0.10	1.00	0.21	0.78	0.10
	Midwest	0.98	0.03	0.97	0.04	0.82	0.08	1.96	0.31	1.33	0.16
	South	0.72	0.03	0.79	0.04	0.64	0.06	0.81	0.23	0.62	0.06
	West	0.90	0.03	1.01	0.05	1.13	0.13	1.20	0.12	0.70	0.05
Ownership/control of hospital	Private, not for profit	0.84	0.02	0.88	0.02	0.77	0.04	1.06	0.10	0.71	0.04
	Private, for profit	0.60	0.05	0.69	0.07	DSU	DSU	DSU	DSU	0.47	0.12
	Public	1.03	0.04	1.08	0.06	0.96	0.10	2.03	0.26	0.84	0.08
Teaching status	Teaching	0.88	0.02	0.90	0.03	0.90	0.05	1.22	0.11	0.74	0.04
Teaching status	Nonteaching	0.78	0.03	0.86	0.03	0.46	0.07	1.05	0.16	0.66	0.06
Location of hospital	Large central metropolitan	0.87	0.02	0.87	0.03	0.88	0.05	1.11	0.12	0.78	0.04
	Large fringe metropolitan	0.66	0.04	0.65	0.05	0.74	0.09	DSU	DSU	0.50	0.09
	Medium metropolitan	0.87	0.03	0.95	0.04	0.65	0.09	1.61	0.20	0.67	0.08
	Small metropolitan	1.01	0.06	1.31	0.08	DSU	DSU	2.34	0.47	DSU	DSU
	Micropolitan (nonmetro)	0.84	0.09	0.92	0.11	DSU	DSU	DSU	DSU	DSU	DSU
	Noncore (nonmetro)	0.81	0.19	DSU	DSU	DSU	DSU	DSU	DSU	4.77	0.71
Bed size of hospital	Less than 100	1.02	0.08	1.12	0.10	DSU	DSU	DSU	DSU	0.85	0.21
	100–299	0.80	0.02	0.88	0.03	0.61	0.07	1.02	0.13	0.67	0.05
	300–499	0.71	0.03	0.68	0.05	0.72	0.08	0.98	0.24	0.61	0.08
	500 or more	0.97	0.03	0.98	0.03	0.96	0.06	1.50	0.16	0.83	0.06

^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 and major diagnostic category groups, and comorbidities, and stratified by six clinical categories and seven procedure types (distinguishing minor and major procedures and quantity).

DSU - 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 (AHRQ), Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, State Inpatient Databases, disparities analysis file, 2006, and AHRQ Quality Indicators, version 3.1. The analysis file is designed to provide national estimates on disparities using weighted records from a sample of hospitals from the following 25 States: AR, AZ, CA, CO, CT, FL, GA, HI, KS, MA, MD, MI, MO, NH, NJ, NY, OK, RI, SC, TN, TX, UT, VA, VT, and WI.

Current as of March 2010

Internet Citation: Table 21_1_4-1a: 2009 National Healthcare Quality and Disparities Reports. March 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://archive.ahrq.gov/research/findings/nhqrdr/nhqrdr09/18_populations/T21_1_4-1a.html