T12_3_2_2_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_3_2.2_2
Admissions with accidental puncture or laceration during procedure per 1,000 medical and surgical admissions,a age less than 18 years,b by race/ethnicity, United States, 2008
    Non-Hispanic  
  TotalWhiteBlackAPIHispanic, all races
Population groupRateSERateSERateSERateSERateSE
Total 0.740.020.780.020.740.040.680.090.660.03
Age0-40.680.020.700.030.750.040.480.100.570.04
5-90.860.051.020.070.790.14DSUDSU0.640.11
10-140.830.050.940.060.570.131.540.300.710.11
15-171.010.050.970.060.790.13DSUDSU1.210.12
GenderMale0.830.020.870.030.960.060.530.140.670.05
Female0.640.020.690.030.470.050.700.110.600.04
Median income of patient's ZIP CodeFirst quartile (lowest income)0.740.030.870.050.660.06DSUDSU0.630.05
Second quartile0.740.030.780.040.770.081.030.210.610.07
Third quartile0.790.030.790.040.730.090.700.180.760.07
Fourth quartile (highest income)0.700.030.720.041.000.110.590.140.660.09
Location of patient residenceLarge central metropolitan0.690.030.640.050.750.060.780.140.670.05
Large fringe metropolitan0.680.030.650.040.740.08DSUDSU0.720.08
Medium metropolitan0.790.040.920.050.630.100.790.210.610.08
Small metropolitan0.910.051.000.060.970.15DSUDSUDSUDSU
Micropolitan0.800.050.790.060.780.19DSUDSU0.970.17
Noncore0.880.060.960.07DSUDSUDSUDSUDSUDSU
Expected payment sourcePrivate insurance0.710.020.740.030.640.070.820.120.620.06
Medicare1.340.28DSUDSU1.980.53DSUDSUDSUDSU
Medicaid0.770.020.870.040.800.05DSUDSU0.630.04
Other insurance0.790.070.920.09DSUDSUDSUDSU0.860.13
Uninsured/self-pay/no charge0.780.080.580.130.740.21DSUDSU1.040.15
Region of inpatient treatmentNortheast0.670.040.690.050.730.10DSUDSU0.540.10
Midwest0.900.030.920.040.780.08DSUDSU0.680.15
South0.680.020.670.030.730.05DSUDSU0.660.05
West0.770.030.880.050.700.140.890.140.690.05
Ownership/control of hospitalPrivate, not for profit0.750.020.780.020.740.040.790.100.670.04
Private, for profit0.650.050.700.070.720.14DSUDSU0.610.09
Public0.790.040.910.060.750.10DSUDSU0.660.08
Teaching status of hospitalTeaching0.740.020.750.030.790.050.620.110.680.05
Nonteaching0.750.020.820.030.640.070.780.150.640.05
Location of hospitalLarge central metropolitan0.760.020.770.030.820.050.700.120.730.04
Large fringe metropolitan0.550.040.490.050.680.08DSUDSU0.560.09
Medium metropolitan0.790.030.900.040.460.10DSUDSU0.480.09
Small metropolitan0.760.060.800.08DSUDSU2.150.480.600.13
Micropolitan1.060.081.070.081.980.29DSUDSUDSUDSU
Noncore1.240.151.370.16DSUDSUDSUDSUDSUDSU
Bed size of hospitalLess than 1000.860.071.010.09DSUDSUDSUDSUDSUDSU
100-2990.740.030.760.040.780.070.830.160.720.06
300-4990.780.030.850.040.730.080.700.180.630.06
500 or more0.710.030.720.030.730.060.570.150.650.06

a. The Agency for Healthcare Research and Quality (AHRQ) Pediatric Quality Indicators (PDI) software requires that the accidental puncture or laceration be reported as a secondary diagnosis (rather than the principal diagnosis), but unlike the AHRQ PDI software, the secondary diagnosis could be present on admission. Consistent with the AHRQ PDI software, the following cases are excluded: obstetric admissions, admissions involving spinal surgery, normal newborns, and neonates with a birth weight less than 500 grams.

b. Rates are adjusted by major diagnostic category (MDC) and type of therapeutic procedure. The AHRQ PDI 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.

 

Page last reviewed March 2012
Internet Citation: T12_3_2_2_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_3_2_2_2.html