Skip Navigation U.S. Department of Health and Human Services www.hhs.gov
Agency for Healthcare Research Quality www.ahrq.gov
Archive print banner
National Healthcare Disparities Report, 2004

This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://info.ahrq.gov. Let us know the nature of the problem, the Web address of what you want, and your contact information.

Please go to www.ahrq.gov for current information.

Racial and ethnic differences

Table 2.10a. Racial and Ethnic Differences in Patient Safety

Measure Racial Differencei Ethnic Differenceii
Black Asian NHOPI AI/AN >1 Race Hispanic
Nosocomial Infections
Selected infections due to medical care per 1000 dischargesiii iii iii     =
Postoperative septicemia per 1,000 elective surgical discharges of 4 or more daysiii iii =iii    
Medicare beneficiaries with central venous catheter-associated infection at insertion siteiv =        
Medicare beneficiaries with central venous catheter-associated blood stream infectioniv =        
Medicare beneficiaries with postoperative pneumoniaiv =        
Medicare beneficiaries with postoperative urinary tract infectioniv =        
Medicare beneficiaries with ventilator-associated pneumoniaiv =        
Medicare beneficiaries with hospital-acquired blood stream infectioniv =        
Complications of Care
Postoperative hemorrhage or hematoma with surgical drainage or evacuation per 1,000 surgical dischargesiii iii iii    
Postoperative pulmonary embolus or deep vein thrombosis per 1,000 surgical dischargesiii iii iii     =
Postoperative respiratory failure per 1,000 elective surgical dischargesiii iii iii    
Postoperative physiologic/metabolic derangements per 1,000 elective surgeriesiii iii =iii     =
Complications of anesthesia per 1,000 surgical dischargesiii iii =iii    
Decubitus ulcers per 1,000 selected stays of 4 or more daysiii iii iii    
Postoperative hip fractures per 1,000 surgical discharges age 18 and overiii iii =iii     =
Medicare beneficiaries with postoperative pulmonaryembolus or deep vein thrombosisiv        

iCompared with whites.
iiCompared with non-Hispanic whites.
iiiSource: HCUP SID disparities analysis file, 2001. This source categorizes race/ethnicity ve ry differently from other sources. Race/ethnicity information is categorized as a single item: non-Hispanic white, non-Hispanic black, Hispanic, Asian or Pacific Islander. Contrasts compare each group with non- Hispanic whites.
ivSource: Medicare Patient Safety Monitoring System, 2002.
Key: NHOPI=Native Hawaiian or Other Pacific Islander; AI/AN=American Indian or Alaska Native.

Table 2.10a. Racial and Ethnic Differences in Patient Safety (continued)

Table 2.10a. Racial and Ethnic Differences in Patient Safety (continued)

Measure Racial Differencei Ethnic Differenceii
Black Asian NHOPI AI/AN >1 Race Hispanic
Injuries or Adverse Events Due to Care
Medicare beneficiaries with central venous catheter-associated mechanical complicationiii =          
Accidental laceration or puncture during procedure per 1,000 dischargesiv =iv =iv    
I a t r ogenic pneumothorax per 1,000 relevant dischargesiv =iv =iv    
Reclosure of postoperative disruption of abdominal wall (postoperative abdominal wound dehiscence) per 1,000 abdominopelvic-surg e ry dischargesiv =iv iv    
Foreign body left in during procedure per 1,000 dischargesiv =iv =iv     =
B i rth Related Traumaiv
B i rth trauma injury to neonate per 1,000 selected live births =iv =iv    
Obstetric trauma per 1,000 instrument-assisted deliveries iv =iv     =
Obstetric trauma per 1,000 vaginal deliveries without instrument assistance iv =iv    
Obstetric trauma per 1,000 cesarean deliveries =iv =iv    
Potentially Avoidable Deathv
Deaths per 1,000 discharges in low - mortality DRGs iv =iv     =
Deaths per 1,000 discharges with complications potentially resulting from care (failure to rescue) =iv iv     =
Medication Safetyv
Persons with provider who does not usually ask about medications and treatments other doctors may give =iv =  

iCompared with whites.
iiCompared with non-Hispanic whites.
iiiSource: Medicare Patient Safety Monitoring System, 2002.
ivSource: HCUP State Inpatient Databases disparities analysis file, 2001. This source categorizes race/ethnicity ve ry 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.
vSource: Medical Expenditure Panel Survey, 2001. This source did not collect information on Asians and NHOPIs separately but in aggr egate as Asian or Pacific Islander. This source did not collect information for >>1 race.
Key: NHOPI=Native Hawaiian or Other Pacific Islander; AI/AN=American Indian or Alaska Native.

Key to Symbols Used in Quality of Health Care Tables
=: Group and comparison group receive about same quality of health care or have similar outcomes.
↑Group receives better quality of health care than the comparison group or has better outcomes.
↓Group receives poorer quality of health care than the comparison group or has worse outcomes.
Blank cell: Reliable estimate for group could not be made.

 

 

The information on this page is archived and provided for reference purposes only.

 

AHRQ Advancing Excellence in Health Care