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National Healthcare Disparities Report, 2003

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Racial and Ethnic Differences in Patient Safety

Measure Racial Difference[1] Ethnic Difference[2]
  Black Asian NHOPI AI/AN >1 Race NHB Hispanic
Nosocomial Infections[3]
Infection due to intravenous lines or catheters per 1000 selected discharges *3 Selected population receives worse quality care than the comparison population3     Selected population receives worse quality care than the comparison population Selected population and comparison population receive about same quality of health care
Postoperative septicemia per 1000 elective surgical discharges of 4+ days *3 Selected population receives worse quality care than the comparison population3     Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population
Complications of Care3
Postoperative hemorrhage or hematoma with surgical drainage or evacuation per 1000 surgical discharges *3 Selected population receives worse quality care than the comparison population3     Selected population receives worse quality care than the comparison population Selected population and comparison population receive about same quality of health care
Postoperative pulmonary embolus or deep vein thrombosis per 1000 surgical discharges *3 Selected population receives better quality care than the comparison population3     Selected population receives worse quality care than the comparison population Selected population receives better quality care than the comparison population
Postoperative respiratory failure per 1000 elective surgical discharges *3 Selected population receives worse quality care than the comparison population3     Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population
Postoperative physiologic/metabolic derangements per 1000 elective surgeries *3 Selected population receives worse quality care than the comparison population3     Selected population receives worse quality care than the comparison population Selected population receives worse quality care than the comparison population
Complications of anesthesia per 1000 surgical discharges *3 Selected population and comparison population receive about same quality of health care3     Selected population receives better quality care than the comparison population Selected population receives better quality care than the comparison population
Decubitus ulcers per 1000 selected stays of 4 or more days *3 Selected population and comparison population receive about same quality of health care3     Selected population receives worse quality care than the comparison population Selected population and comparison population receive about same quality of health care
Postoperative hip fractures per 1000 surgical discharges age 18+ years *3 Selected population receives better quality care than the comparison population3     Selected population receives better quality care than the comparison population Selected population receives better quality care than the comparison population
Injuries or Adverse Events Due to Technical Errors3
Accidental laceration or puncture during procedure per 1000 discharges *3 Selected population and comparison population receive about same quality of health care3     Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care
Iatrogenic pneumothorax per 1000 relevant discharges *3 Selected population and comparison population receive about same quality of health care3     Selected population and comparison population receive about same quality of health care Selected population receives better quality care than the comparison population
Postoperative abdominal wound dehiscence per 1000 relevant discharges *3 Selected population and comparison population receive about same quality of health care3     Selected population and comparison population receive about same quality of health care Selected population receives better quality care than the comparison population
Foreign body left in during procedure per 1000 discharges *3 Selected population and comparison population receive about same quality of health care3     Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care
Transfusion reactions per 1000 selected discharges *3 Selected population and comparison population receive about same quality of health care3     Selected population and comparison population receive about same quality of health care Selected population and comparison population receive about same quality of health care
Birth Related Trauma3
Birth trauma injury per 1000 selected live births *3 Selected population and comparison population receive about same quality of health care3     Selected population and comparison population receive about same quality of health care Selected population receives better quality care than the comparison population
Obstetric trauma per 1000 instrument-assisted deliveries *3 Selected population and comparison population receive about same quality of health care3     Selected population receives better quality care than the comparison population Selected population receives better quality care than the comparison population
Obstetric trauma per 1000 vaginal deliveries without instrument assistance *3 Selected population and comparison population receive about same quality of health care3     Selected population receives better quality care than the comparison population Selected population receives better quality care than the comparison population
Obstetric trauma per 1000 Cesarean deliveries *3 Selected population and comparison population receive about same quality of health care3     Selected population receives better quality care than the comparison population Selected population receives better quality care than the comparison population

Racial and Ethnic Differences in Patient Safety (continued)

Measure Racial Difference[4] Ethnic Difference[5]
  Black Asian NHOPI AI/AN >1 Race NHB Hispanic
Potentially Avoidable Death[6]
Deaths per 1000 admissions in low-mortality DRGs *3 Selected population receives better quality care than the comparison population3     Selected population and comparison population receive about same quality of health care Selected population receives better quality care than the comparison population
Medication Safety
Elderly prescribed inappropriate medications[7] Selected population and comparison population receive about same quality of health care Data are collected but do not meet criteria for statistical reliability4 Data are collected but do not meet criteria for statistical reliability      
Persons with provider who does not usually ask about medications and treatments other doctors may give[8] Selected population receives better quality care than the comparison population Selected population and comparison population receive about same quality of health care5 Selected population and comparison population receive about same quality of health care   Selected population receives better quality care than the comparison population Selected population receives better quality care than the comparison population
Key to Quality of Health Care Tables
Selected population and comparison population receive about same quality of health care: Selected population and comparison population receive about same quality of health care
Selected population receives better quality care than the comparison population: Selected population receives better quality care than the comparison population
Selected population receives worse quality care than the comparison population: Selected population receives worse quality care than the comparison population
Data are collected but do not meet criteria for statistical reliability: Data are collected but do not meet criteria for statistical reliability"/>

[1] Compared with whites.

[2] Compared with non-Hispanic whites.

[3] Source: HCUP SID 16 state database, 2000. This source categorizes race/ethnicity very differently from other sources. Race/ethnicity information is categorized as a single item: Non-Hispanic white, Non-Hispanic black, Hispanic, Asian or Pacific Islander. These contrasts compare each group with non-Hispanic whites. An * is inserted in the Black column to indicate that estimates for this group could not be produced.

[4] Compared with whites.

[5] Compared with non-Hispanic whites.

[6] Source: HCUP SID 16 state database, 2000. This source categorizes race/ethnicity very differently from other sources. Race/ethnicity information is categorized as a single item: Non-Hispanic white, Non-Hispanic black, Hispanic, Asian or Pacific Islander. These contrasts compare each group with non-Hispanic whites. An * is inserted in the Black column to indicate that estimates for this group could not be produced.

[7] Source: MEPS, 1998. This source did not collect information on Asians and NHOPIs separately but in aggregate as Asian or Pacific Islander. This source did not collect information for >1 race.

[8] Source: MEPS, 1999. This source did not collect information on Asians and NHOPIs separately but in aggregate as Asian or Pacific Islander. This source did not collect information for >1 race.

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