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
		Total		White		Black		API		Hispanic, all races
Population group		Rate	SE	Rate	SE	Rate	SE	Rate	SE	Rate	SE
Total		123.9	0.7	120.5	0.8	133.2	2.3	130.7	4.5	142.4	2.6
Age	18-44	70.6	1.7	62.8	2.2	81.4	4.0	85.3	9.4	88.8	4.0
	45-64	100.8	1.2	97.0	1.4	106.2	3.1	107.5	7.3	118.9	3.9
	65-89	149.8	1.0	148.4	1.2	149.9	3.6	154.0	6.5	159.4	4.2
	65-69	118.4	2.0	114.6	2.3	127.8	6.3	163.2	12.7	128.3	8.0
	70-74	131.9	2.1	128.7	2.4	136.9	7.1	147.1	12.8	158.1	7.9
	75-79	153.7	2.2	151.5	2.4	175.5	8.2	151.1	13.7	153.3	8.8
	80-84	173.6	2.5	175.3	2.7	152.2	9.6	149.7	15.4	174.6	10.9
	85-89	195.3	3.3	193.3	3.6	190.7	12.6	167.2	22.3	223.8	14.0
Gender	Male	136.7	1.0	135.6	1.2	130.4	3.2	140.4	6.5	147.2	3.5
Gender	Female	112.1	1.0	113.3	1.2	107.1	2.6	118.7	6.0	109.7	3.2
Median income of patient's ZIP Code	First quartile (lowest income)	127.6	1.5	118.2	1.8	148.7	3.4	153.3	11.8	145.1	4.4
	Second quartile	122.6	1.4	120.6	1.5	111.8	4.6	138.2	9.9	145.8	5.6
	Third quartile	126.7	1.4	125.5	1.6	131.2	5.9	120.5	9.3	139.8	5.3
	Fourth quartile (highest income)	118.7	1.4	117.2	1.6	118.5	6.6	125.1	6.8	135.4	6.5
Location of patient residence	Large central metropolitan	132.9	1.3	129.2	1.6	136.5	3.2	126.3	5.7	147.3	3.4
	Large fringe metropolitan	116.7	1.4	113.2	1.5	132.9	4.8	119.5	11.2	143.3	6.9
	Medium metropolitan	127.0	1.7	126.3	1.9	116.6	7.0	142.8	11.3	132.5	6.8
	Small metropolitan	119.8	2.4	116.3	2.6	132.2	8.9	234.3	26.7	158.0	12.3
	Micropolitan	116.2	2.3	115.4	2.5	140.6	11.4	143.1	26.5	95.6	14.1
	Noncore	117.0	2.7	116.0	2.9	132.8	12.5	DSU	DSU	117.7	16.3
Expected payment source	Private insurance	113.3	1.5	110.8	1.7	117.5	5.1	106.8	9.4	127.8	5.9
	Medicare	124.4	0.9	122.4	1.0	133.8	2.9	134.2	5.8	134.5	3.6
	Medicaid	143.2	2.9	128.3	4.2	143.4	6.5	160.3	11.8	168.5	6.4
	Other insurance	130.7	5.1	129.6	6.1	186.6	15.6	119.5	32.2	106.1	13.9
	Uninsured/self-pay/no charge	156.2	5.0	144.1	6.4	143.7	13.4	119.3	30.5	213.4	11.4
Region of inpatient treatment	Northeast	127.4	1.4	124.9	1.6	135.5	5.0	147.4	11.7	137.2	8.2
	Midwest	116.9	1.6	115.9	1.7	125.5	5.8	113.0	23.5	135.1	14.8
	South	120.5	1.2	117.0	1.4	134.3	3.4	121.6	12.6	130.8	4.5
	West	131.6	1.5	126.5	1.9	134.7	5.6	129.9	5.4	151.9	3.7
Ownership/control of hospital	Private, not for profit	123.5	0.8	120.1	0.9	135.7	2.8	131.1	5.3	142.2	3.4
	Private, for profit	123.9	1.8	124.7	2.2	132.8	5.4	113.9	12.0	119.3	5.7
	Public	126.3	2.2	118.1	2.6	119.5	6.6	144.7	11.5	170.3	6.4
Teaching status of hospital	Teaching	128.3	1.1	123.1	1.3	134.4	3.4	140.8	6.6	159.1	4.1
Teaching status of hospital	Nonteaching	121.0	0.9	119.0	1.0	132.0	3.2	122.2	6.1	129.9	3.5
Location of hospital	Large central metropolitan	129.8	1.1	125.3	1.3	138.7	3.1	125.4	5.4	148.0	3.3
	Large fringe metropolitan	117.0	1.6	114.3	1.7	123.4	5.0	131.2	12.8	139.3	7.4
	Medium metropolitan	126.3	1.6	125.1	1.7	123.5	6.7	138.9	11.0	133.6	6.5
	Small metropolitan	118.0	2.3	115.9	2.4	144.8	8.8	181.1	29.8	120.4	12.8
	Micropolitan	110.0	3.1	109.7	3.2	110.6	15.0	285.9	48.3	82.9	23.5
	Noncore	97.1	7.0	95.5	7.4	118.8	26.9	DSU	DSU	DSU	DSU
Bed size of hospital	Less than 100	104.8	2.6	106.3	2.9	97.5	9.5	110.5	20.3	89.6	10.3
	100-299	123.6	1.3	121.4	1.4	126.2	4.5	136.2	7.4	143.9	4.9
	300-499	123.0	1.2	118.7	1.4	141.9	4.0	120.6	7.1	138.3	4.7
	500 or more	130.1	1.3	125.6	1.6	135.6	4.0	146.2	10.2	155.1	4.7

^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 October 2014

Internet Citation: T12_3_8_2: 2011 National Healthcare Quality and Disparities Reports. October 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://archive.ahrq.gov/research/findings/nhqrdr/nhqrdr11/12_patientsafety/T12_3_8_2.html