T12_3_8_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_8.2
Deaths per 1,000 elective-surgery admissions having developed specified complications of care during hospitalization,a ages 18-89 or obstetric admissions,b by race/ethnicity, United States, 2008
    Non-Hispanic  
  TotalWhiteBlackAPIHispanic, all races
Population groupRateSERateSERateSERateSERateSE
Total 123.90.7120.50.8133.22.3130.74.5142.42.6
Age18-4470.61.762.82.281.44.085.39.488.84.0
45-64100.81.297.01.4106.23.1107.57.3118.93.9
65-89149.81.0148.41.2149.93.6154.06.5159.44.2
  65-69118.42.0114.62.3127.86.3163.212.7128.38.0
  70-74131.92.1128.72.4136.97.1147.112.8158.17.9
  75-79153.72.2151.52.4175.58.2151.113.7153.38.8
  80-84173.62.5175.32.7152.29.6149.715.4174.610.9
  85-89195.33.3193.33.6190.712.6167.222.3223.814.0
GenderMale136.71.0135.61.2130.43.2140.46.5147.23.5
Female112.11.0113.31.2107.12.6118.76.0109.73.2
Median income of patient's ZIP CodeFirst quartile (lowest income)127.61.5118.21.8148.73.4153.311.8145.14.4
Second quartile122.61.4120.61.5111.84.6138.29.9145.85.6
Third quartile126.71.4125.51.6131.25.9120.59.3139.85.3
Fourth quartile (highest income)118.71.4117.21.6118.56.6125.16.8135.46.5
Location of patient residenceLarge central metropolitan132.91.3129.21.6136.53.2126.35.7147.33.4
Large fringe metropolitan116.71.4113.21.5132.94.8119.511.2143.36.9
Medium metropolitan127.01.7126.31.9116.67.0142.811.3132.56.8
Small metropolitan119.82.4116.32.6132.28.9234.326.7158.012.3
Micropolitan116.22.3115.42.5140.611.4143.126.595.614.1
Noncore117.02.7116.02.9132.812.5DSUDSU117.716.3
Expected payment sourcePrivate insurance113.31.5110.81.7117.55.1106.89.4127.85.9
Medicare124.40.9122.41.0133.82.9134.25.8134.53.6
Medicaid143.22.9128.34.2143.46.5160.311.8168.56.4
Other insurance130.75.1129.66.1186.615.6119.532.2106.113.9
Uninsured/self-pay/no charge156.25.0144.16.4143.713.4119.330.5213.411.4
Region of inpatient treatmentNortheast127.41.4124.91.6135.55.0147.411.7137.28.2
Midwest116.91.6115.91.7125.55.8113.023.5135.114.8
South120.51.2117.01.4134.33.4121.612.6130.84.5
West131.61.5126.51.9134.75.6129.95.4151.93.7
Ownership/control of hospitalPrivate, not for profit123.50.8120.10.9135.72.8131.15.3142.23.4
Private, for profit123.91.8124.72.2132.85.4113.912.0119.35.7
Public126.32.2118.12.6119.56.6144.711.5170.36.4
Teaching status of hospitalTeaching128.31.1123.11.3134.43.4140.86.6159.14.1
Nonteaching121.00.9119.01.0132.03.2122.26.1129.93.5
Location of hospitalLarge central metropolitan129.81.1125.31.3138.73.1125.45.4148.03.3
Large fringe metropolitan117.01.6114.31.7123.45.0131.212.8139.37.4
Medium metropolitan126.31.6125.11.7123.56.7138.911.0133.66.5
Small metropolitan118.02.3115.92.4144.88.8181.129.8120.412.8
Micropolitan110.03.1109.73.2110.615.0285.948.382.923.5
Noncore97.17.095.57.4118.826.9DSUDSUDSUDSU
Bed size of hospitalLess than 100104.82.6106.32.997.59.5110.520.389.610.3
100-299123.61.3121.41.4126.24.5136.27.4143.94.9
300-499123.01.2118.71.4141.94.0120.67.1138.34.7
500 or more130.11.3125.61.6135.64.0146.210.2155.14.7

a. Consistent with the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSI) software, complications of care include acute renal failure, pneumonia, pulmonary embolism, deep vein thrombosis, sepsis, shock, cardiac arrest, gastroentestinal hemorrhage, and acute ulcer, with transfers to another hospital excluded. The AHRQ PSI software requires that the complication 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 surgery is not verifiable as occurring in the first 2 days of the inpatient stay.

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

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_8_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_8_2.html