T12_1_5_3

2011 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 12_1_5.3
Postoperative sepsis per 1,000 elective-surgery admissions of length 4 or more days,^a age 18 and over,^b by State, 2008
State	Rate	SE
Total	14.6	0.1
Arizona	17.9	0.8
Arkansas	11.9	1.0
California	14.2	0.4
Colorado	15.2	1.0
Connecticut	13.2	1.2
Florida	17.3	0.5
Georgia	16.5	0.7
Hawaii	20.9	2.4
Illinois	13.5	0.6
Indiana	14.1	0.6
Iowa	11.6	1.1
Kansas	11.3	1.3
Kentucky	19.2	0.8
Louisiana	14.9	0.8
Maine	10.1	1.9
Maryland	26.6	1.0
Massachusetts	10.7	0.9
Minnesota	10.4	0.9
Missouri	15.7	0.8
Nebraska	9.1	1.3
Nevada	15.4	1.4
New Hampshire	7.8	1.7
New Jersey	18.9	0.8
New York	16.3	0.6
North Carolina	11.7	0.7
Ohio	15.4	0.6
Oklahoma	13.9	0.9
Oregon	11.6	1.1
Rhode Island	9.2	2.4
South Carolina	14.3	1.0
South Dakota	9.9	2.3
Tennessee	18.4	0.7
Utah	15.8	1.5
Vermont	12.6	3.7
Virginia	14.3	0.8
Washington	12.7	0.9
West Virginia	14.8	1.3
Wisconsin	10.9	0.9
Wyoming	DSU	DSU

^a. The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSI) software requires that the sepsis be reported as a secondary diagnosis (rather than the principal diagnosis), but unlike the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSI) software, the secondary diagnosis could be present on admission.� In addition, the sepsis is not verifiable as following surgery.� Consistent with the AHRQ Patient Safety Indicators (PSI) software, the following cases are excluded: admissions with a principal diagnosis of infection, admissions with cancer or in an immunocompromised state, and obstetric admissions.

^b. Rates are adjusted by age, gender, age-gender interactions, comorbidities, major diagnostic category (MDC), diagnosis-related group (DRG), and transfers into the hospital.� The AHRQ PSI software was modified to not use the present on admission (POA) indicators (or estimates of the likelihood of POA for secondary diagnosis). Rates prior to 2008 are not reported because of International Classification of Diseases, 9th Revision (ICD-9-CM) coding changes.

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

DNC - Data were not collected.

Key: SE: Standard error.

Source: Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project (HCUP) databases and AHRQ Quality Indicators, modified version 4.1.� State estimates are from the State Inpatient Databases (SID), and not all States participate in HCUP.� Estimates for the total United States are from the Nationwide Inpatient Sample, which is drawn from the SID and weighted to give national estimates.

Page last reviewed October 2014

Internet Citation: T12_1_5_3: 2011 National Healthcare Quality and Disparities Reports. October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://archive.ahrq.gov/research/findings/nhqrdr/nhqrdr11/12_patientsafety/T12_1_5_3.html