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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_2_6.2_2
Postoperative respiratory failure per 1,000 elective-surgery admissions,a age less than 18 years,b by race/ethnicity, United States, 2008
  TotalWhiteBlackAPIHispanic, all races
Population groupRateSERateSERateSERateSERateSE
Total 18.80.316.80.425.90.816.
Median income of patient's ZIP CodeFirst quartile (lowest income)19.70.615.
Second quartile18.70.615.40.829.71.6DSUDSU16.51.5
Third quartile19.30.619.40.825.41.716.
Fourth quartile (highest income)17.30.716.70.818.
Location of patient residenceLarge central metropolitan18.20.615.50.927.41.315.03.316.61.1
Large fringe metropolitan22.10.620.30.828.01.422.
Medium metropolitan16.90.715.80.921.32.1DSUDSU18.71.8
Small metropolitan14.
Expected payment sourcePrivate insurance17.00.515.80.625.51.512.52.618.21.5
Other insurance14.
Uninsured/self-pay/no charge13.02.1DSUDSU45.66.5DSUDSU18.05.3
Region of inpatient treatmentNortheast14.60.913.
Ownership/control of hospitalPrivate, not for profit18.30.316.70.525.90.817.92.416.70.9
Private, for profit24.41.319.61.822.04.1DSUDSU32.02.4
Teaching status of hospitalTeaching20.30.418.10.528.50.922.42.618.41.1
Location of hospitalLarge central metropolitan17.60.517.50.621.
Large fringe metropolitan26.50.722.10.934.
Medium metropolitan16.20.714.90.820.52.2DSUDSU25.42.8
Small metropolitan11.61.4DSUDSU16.54.2DSUDSU17.42.5
Bed size of hospitalLess than 1007.12.0DSUDSUDSUDSUDSUDSUDSUDSU
500 or more25.00.521.50.632.

a. The Agency for Healthcare Research and Quality (AHRQ) Pediatric Quality Indicators (PDI) software requires that the respiratory failure 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. In addition, the tracheostomy is not verifiable as following surgery. Consistent with the AHRQ PDI software, the following cases are excluded: admissions with respiratory disease, circulatory disease, craniofacial anomalies, or neuromuscular disorders; neonates with a birth weight less than 500 grams; obstetric admissions; and admissions in which the tracheostomy is the only operating room procedure.

b. Rates are adjusted by age, major diagnostic category (MDC), diagnosis-related group (DRG), comorbidities, and transfers into the hospital. When reporting is age, rates are adjusted by MDC, DRG, comorbidities, and transfers into the hospital. 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: 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_2_6_2_2: 2011 National Healthcare Quality and Disparities Reports. October 2014. Agency for Healthcare Research and Quality, Rockville, MD.


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