T12_2_4_1_1

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_2_4.1_1
Postoperative hemorrhage or hematoma with surgical drainage or evacuation per 1,000 surgical admissions,a age 18 and over,b United States, 2000, 2004, 2005, 2007, and 2008
  20082007200520042000
Population groupRateSERateSERateSERateSERateSE
Total 2.80.022.70.022.70.022.60.022.60.02
Age18-442.60.042.70.042.60.042.60.042.20.04
45-642.60.032.60.032.70.032.40.032.50.03
65 and over2.90.032.80.032.70.032.80.033.00.03
  65-692.70.052.40.062.50.062.60.062.60.06
  70-743.00.062.90.062.70.062.70.063.00.06
  75-793.30.063.20.062.80.063.10.063.40.06
  80-843.30.073.10.073.00.073.10.073.20.07
  85 and over2.40.072.30.072.10.072.40.072.60.07
GenderMale3.00.032.90.032.80.032.70.032.90.03
Female2.60.022.50.022.60.022.50.022.40.02
Median income of patient's ZIP CodeFirst quartile (lowest income)2.80.042.70.042.80.042.50.042.60.04
Second quartile2.70.042.60.042.60.042.60.042.60.03
Third quartile2.60.042.80.042.60.042.70.042.70.04
Fourth quartile (highest income)2.90.042.70.042.60.042.60.042.70.04
Location of patient residenceLarge central metropolitan2.70.032.70.032.70.032.50.042.60.03
Large fringe metropolitan2.70.042.50.042.50.042.60.042.60.04
Medium metropolitan2.90.043.00.042.80.042.60.042.90.05
Small metropolitan2.80.062.80.062.70.062.80.062.70.06
Micropolitan2.80.062.70.062.70.062.70.052.50.06
Noncore2.70.072.60.072.50.072.30.062.60.07
Expected payment sourcePrivate insurance2.50.032.50.032.60.032.30.032.40.03
Medicare3.00.032.90.032.70.032.80.033.00.03
Medicaid3.10.073.00.073.20.072.70.072.60.07
Other insurance2.70.092.80.092.70.102.40.102.30.10
Uninsured/self-pay/no charge2.00.092.40.082.20.082.40.091.90.09
Region of inpatient treatmentNortheast2.60.042.60.042.50.042.60.042.50.04
Midwest2.90.042.80.042.70.042.80.042.50.04
South2.60.032.60.032.60.032.40.032.70.03
West3.10.042.80.042.90.042.90.043.00.04
Ownership/control of hospitalPrivate, not for profit2.70.022.70.022.70.022.60.022.70.02
Private, for profit2.50.052.50.052.40.052.40.052.40.06
Public3.10.052.80.052.70.052.90.052.70.05
Teaching status of hospitalTeaching2.90.032.90.032.60.032.70.032.80.03
Nonteaching2.70.022.60.022.70.022.50.022.60.02
Location of hospitalLarge central metropolitan2.80.032.70.032.70.032.50.032.80.03
Large fringe metropolitan2.60.042.50.042.50.042.60.042.40.04
Medium metropolitan2.80.042.90.042.70.042.70.042.80.04
Small metropolitan2.80.062.70.052.50.062.70.052.50.06
Micropolitan2.70.072.50.072.80.072.50.072.20.07
Noncore2.80.172.90.152.10.141.90.142.20.13
Bed size of hospitalLess than 1002.80.072.40.072.40.062.50.072.10.06
100-2992.70.032.60.032.60.032.50.032.50.03
300-4992.60.032.60.032.70.032.60.032.80.03
500 or more3.00.033.10.042.70.042.70.042.80.04

a. The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSI) software requires that the hemorrhage or hematoma complicating procedure 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. In addition, the control of the hemorrhage or hematoma is not verifiable as following surgery. Consistent with the AHRQ PSI software, the following cases are excluded: obstetric conditions and admissions in which the control of the hemorrhage or hematoma is the only operating room procedure.

b. Rates are adjusted by gender, comorbidities, major diagnostic category (MDC), diagnosis-related group (DRG), and transfers into the hospital. When reporting is by gender, the adjustment is by comorbidities, MDC, 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).

Key: SE: standard error.

Source: Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, Nationwide Inpatient Sample and AHRQ Quality Indicators, modified version 4.1.

 

Page last reviewed March 2012
Internet Citation: T12_2_4_1_1: 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_2_4_1_1.html