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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_2.2_1
Admissions with accidental puncture or laceration during procedure per 1,000 medical and surgical admissions,a age less than 18 years,b United States, 2000, 2004, 2005, 2007, and 2008
Population groupRateSERateSERateSERateSERateSE
Total 0.780.020.780.020.750.010.770.020.640.02
Median income of patient's ZIP CodeFirst quartile (lowest income)0.770.030.750.030.830.030.810.030.660.03
Second quartile0.810.030.950.030.740.030.750.030.690.03
Third quartile0.860.030.740.030.830.030.850.030.660.03
Fourth quartile (highest income)0.680.030.690.030.590.030.690.030.550.03
Location of patient residenceLarge central metropolitan0.670.030.720.030.650.020.620.030.460.03
Large fringe metropolitan0.850.030.670.030.700.030.660.030.590.03
Medium metropolitan0.820.030.900.040.810.
Small metropolitan0.880.060.800.050.890.050.670.050.630.05
Expected payment sourcePrivate insurance0.740.020.730.020.720.020.770.020.610.02
Other insurance0.920.090.460.080.820.060.880.080.780.09
Uninsured/self-pay/no charge0.580.090.790.080.750.070.690.080.550.08
Region of inpatient treatmentNortheast0.630.030.720.040.670.030.740.040.620.04
Ownership/control of hospitalPrivate, not for profit0.720.020.760.020.780.020.720.020.590.02
Private, for profit0.710.070.730.050.330.
Teaching status of hospitalTeaching0.830.020.760.020.750.020.680.020.640.02
Location of hospitalLarge central metropolitan0.700.020.810.020.770.020.650.020.600.02
Large fringe metropolitan0.810.050.590.030.530.040.580.040.530.04
Medium metropolitan0.950.030.780.040.790.
Small metropolitan1.
Bed size of hospitalLess than 1000.420.
500 or more0.770.030.730.030.820.030.630.030.580.03

a. The Agency for Healthcare Research and Quality (AHRQ) Pediatric Quality Indicators (PDI) software requires that the accidental puncture or laceration be reported as a secondary diagnosis (rather than the principal diagnosis), but unlike the AHRQ PDI software, the secondary diagnosis could be present on admission. Consistent with the AHRQ PDI software, the following cases are excluded: obstetric admissions, admissions involving spinal surgery, normal newborns, and neonates with a birth weight less than 500 grams.

b. Rates are adjusted by major diagnostic category (MDC) and type of therapeutic procedure. The AHRQ PDI 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: SE: standard error.

Source: Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project, Nationwide Inpatient Sample and AHRQ Quality Indicators, modified version 4.1.


Page last reviewed October 2014
Internet Citation: T12_3_2_2_1: 2011 National Healthcare Quality and Disparities Reports. October 2014. Agency for Healthcare Research and Quality, Rockville, MD.


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