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_6.2
Admissions with stage III or IV pressure ulcer per 1,000 medical and surgical admissions of length 5 or more days,a age 18 and over,b by race/ethnicity, United States, 2008
  TotalWhiteBlackAPIHispanic, all races
Population groupRateSERateSERateSERateSERateSE
65 and over52.
  85 and over114.60.3104.40.3193.21.0119.12.0137.11.4
Median income of patient's ZIP CodeFirst quartile (lowest income)
Second quartile28.
Third quartile29.
Fourth quartile (highest income)
Location of patient residenceLarge central metropolitan36.
Large fringe metropolitan30.
Medium metropolitan27.
Small metropolitan25.
Expected payment sourcePrivate insurance22.
Other insurance21.70.422.60.524.
Uninsured/self-pay/no charge18.50.420.90.516.20.813.62.614.71.0
Region of inpatient treatmentNortheast32.
Ownership/control of hospitalPrivate, not for profit30.
Private, for profit29.
Teaching status of hospitalTeaching34.
Location of hospitalLarge central metropolitan34.
Large fringe metropolitan30.
Medium metropolitan27.
Small metropolitan25.
Bed size of hospitalLess than 10024.
500 or more29.

a. The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSI) software requires that the pressure ulcer 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: transfers from other institutions; admissions from long-term care facilities; admissions with diseases of the skin, subcutaneous tissue, or breast; admissions for hemiplegia, paraplegia, quadriplegia, spina bifida, or anoxic brain damage; and admissions in which debridement or pedicle graft is the only operating room procedure.

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

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 October 2014
Internet Citation: T12_3_6_2: 2011 National Healthcare Quality and Disparities Reports. October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr11/12_patientsafety/T12_3_6_2.html