T12_1_6_1_2

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_6.1_2
Admissions with central venous catheter-related bloodstream infection per 1,000 medical and surgical discharges of length 2 or more days,a age 18 and over or obstetric admissions,b by race/ethnicity, United States, 2008
    Non-Hispanic  
  TotalWhiteBlackAPIHispanic, all races
Population groupRateSERateSERateSERateSERateSE
Total 2.80.022.70.023.80.042.50.102.60.05
Age18-442.00.022.00.032.60.041.00.121.40.05
45-644.30.044.10.045.30.083.70.273.70.12
65 and over3.00.022.90.033.90.083.20.152.90.10
  65-694.70.074.70.095.00.206.00.504.00.27
  70-744.20.074.10.084.90.204.70.443.90.25
  75-793.60.063.60.074.40.192.90.373.10.23
  80-842.20.052.10.063.30.162.00.312.00.20
  85 and over1.10.031.00.031.60.101.50.181.40.13
GenderMale4.10.034.00.045.10.083.60.193.60.09
Female2.30.022.30.023.10.041.60.091.50.04
Median income of patient's ZIP CodeFirst quartile (lowest income)2.90.032.60.043.80.052.50.232.60.08
Second quartile2.80.032.60.033.70.082.30.212.60.10
Third quartile2.90.032.70.043.90.102.60.192.60.10
Fourth quartile (highest income)2.80.032.70.043.80.112.50.162.20.13
Location of patient residenceLarge central metropolitan3.20.033.10.044.10.052.40.132.60.06
Large fringe metropolitan3.00.032.90.033.80.082.30.242.80.13
Medium metropolitan2.70.042.60.043.60.113.00.262.20.12
Small metropolitan2.60.052.50.063.20.152.20.582.50.21
Micropolitan2.20.052.10.052.90.173.40.512.50.24
Noncore2.20.052.10.062.20.19DSUDSU2.30.32
Expected payment sourcePrivate insurance2.80.032.70.043.70.082.40.192.30.10
Medicare2.70.022.50.023.90.062.60.142.60.08
Medicaid3.80.043.80.064.50.082.80.253.00.10
Other insurance2.50.082.50.102.60.20DSUDSU2.50.19
Uninsured/self-pay/no charge2.10.062.10.082.20.13DSUDSU2.20.15
Region of inpatient treatmentNortheast2.60.032.40.043.80.102.90.262.10.14
Midwest3.00.032.80.044.40.09DSUDSU2.70.28
South2.90.022.70.033.70.053.50.253.10.08
West2.70.032.80.043.30.102.30.122.30.07
Ownership/control of hospitalPrivate, not for profit2.60.022.40.023.70.052.20.122.50.06
Private, for profit3.50.043.60.044.00.093.00.222.30.10
Public3.10.042.80.054.10.103.10.263.10.11
Teaching status of hospitalTeaching3.40.033.30.034.10.063.20.173.00.08
Nonteaching2.60.022.40.023.60.052.10.122.30.06
Location of hospitalLarge central metropolitan3.40.023.40.034.10.052.30.122.70.06
Large fringe metropolitan2.80.032.60.043.70.082.50.263.00.14
Medium metropolitan2.80.032.70.044.00.113.70.252.10.12
Small metropolitan2.50.052.40.053.20.14DSUDSU2.80.22
Micropolitan1.50.051.60.061.80.192.10.581.20.29
Noncore0.80.080.80.09DSUDSUDSUDSUDSUDSU
Bed size of hospitalLess than 1002.60.042.50.053.40.143.00.322.80.17
100-2992.30.032.20.032.90.072.00.152.00.08
300-4993.00.032.80.034.10.072.60.172.50.09
500 or more3.70.033.50.044.60.073.40.263.30.10

a. The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSI) software requires that the central venous catheter-related bloodstream infection be reported as a secondary diagnosis (rather than the principal diagnosis), but unlike the AHRQ PSI software, the secondary diagnosis could be present on admission. Consistent with the AHRQ PSI software, the following cases are excluded: admissions with a diagnosis of cancer or in an immunocompromised state.

b. Rates are adjusted by comorbidities and diagnosis-related group (DRG). 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).

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, 2007, and AHRQ Quality Indicators, modified version 4.1. The analysis file is designed to provide national estimates on disparities using weighted records from a sample of hospitals from the following 31 States: Arkansas, Arizona, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Kansas, Kentucky, Massachusetts, Maryland, Maine, Michigan, Missouri, New Hampshire, New Jersey, Nevada, New York, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Vermont, Wisconsin, and Wyoming.

 

Current as of March 2012
Internet Citation: T12_1_6_1_2: 2011 National Healthcare Quality and Disparities Reports. March 2012. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr11/12_patientsafety/T12_1_6_1_2.html