publicdata/ahrq-gov
1
0
Fork 0
Code Issues Pull requests Projects Releases Packages Wiki Activity Actions
ahrq-gov/archive.ahrq.gov/research/findings/nhqrdr/nhqr12/chap3-text.html
Scott Williams 58222b51ed Initial commit
2025-02-28 14:14:25 -05:00

270 lines
34 KiB
HTML
Raw Blame History

<!doctype html>
<!--[if lt IE 7]> <html class="no-js lt-ie9 lt-ie8 lt-ie7" lang="en"> <![endif]-->
<!--[if IE 7]> <html class="no-js lt-ie9 lt-ie8" lang="en"> <![endif]-->
<!--[if IE 8]> <html class="no-js lt-ie9" lang="en"> <![endif]-->
<!-- Consider adding a manifest.appcache: h5bp.com/d/Offline -->
<!--[if gt IE 8]><!--> <html class="no-js" lang="en"> <!--<![endif]-->
<head>
<meta charset="utf-8">
<meta name="perc_linkback" id="perc_linkback" content="Fm1kYWNheAdkeAFjZ2x4BmZnYHgTYmFjYmA="/> <!-- Use the .htaccess and remove these lines to avoid edge case issues. More info: h5bp.com/i/378 -->
<meta http-equiv="X-UA-Compatible" content="IE=edge,chrome=1">
<title>2012 National Healthcare Quality Report | AHRQ Archive</title>
<meta name="title" content="2012 National Healthcare Quality Report | AHRQ Archive">
<meta name="description" content="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.">
<!-- Mobile viewport optimized: h5bp.com/viewport -->
<meta name="viewport" content="width=device-width">
<!-- link rel="stylesheet" href="/css/style.css" -->
<!-- More ideas for your <head> here: h5bp.com/d/head-Tips -->
<!-- All JavaScript at the bottom, except this Modernizr build.
Modernizr enables HTML5 elements & feature detects for optimal performance.
Create your own custom Modernizr build: www.modernizr.com/ -->
<!-- <script src="/js/libs/modernizr-2.5.3.min.js"></script>-->
<!-- "metadata" -->
<meta name="keywords" content="quality, disparities" />
<meta name="creator" content="Agency for Healthcare Research and Quality (AHRQ)">
<meta name="datecreated" content="May 2013">
<meta name="datereviewed" content="June 2015">
<meta name="language" content="en-us">
<!-- end="metadata" -->
<link rel="stylesheet" href="/css/archive.css">
<link rel="stylesheet" href="/css/ahrqstyleprint_arch.css" media="print">
<script>
(function(i,s,o,g,r,a,m){i['GoogleAnalyticsObject']=r;i[r]=i[r]||function(){
(i[r].q=i[r].q||[]).push(arguments)},i[r].l=1*new Date();a=s.createElement(o),
m=s.getElementsByTagName(o)[0];a.async=1;a.src=g;m.parentNode.insertBefore(a,m)
})(window,document,'script','//www.google-analytics.com/analytics.js','ga');
ga('create', 'UA-75759936-1', 'auto');
ga(' set', 'anonymizeIp', true);
ga('send', 'pageview');
</script></head>
<body><!-- Google Tag Manager -->
<noscript><iframe src="//www.googletagmanager.com/ns.html?id=GTM-W4DST4"
height="0" width="0" style="display:none;visibility:hidden"></iframe></noscript>
<script>(function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':
new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],
j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src=
'//www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);
})(window,document,'script','dataLayer','GTM-W4DST4');</script>
<!-- End Google Tag Manager -->
<!-- Prompt IE 6 users to install Chrome Frame. Remove this if you support IE 6.
chromium.org/developers/how-tos/chrome-frame-getting-started -->
<!--[if lt IE 7]><p class=chromeframe>Your browser is <em>ancient!</em> <a href="http://browsehappy.com/">Upgrade to a different browser</a> or <a href="http://www.google.com/chromeframe/?redirect=true">install Google Chrome Frame</a> to experience this site.</p><![endif]-->
<!-- Add your site or application content here -->
<noscript>Your browser doesn't support JavaScript. Please upgrade to a modern browser or enable JavaScript in your existing browser.</noscript>
<!-- Page Header v2.0 --><!--Begin Banner CodeS-->
<div id="ahrqbanner">
<div class="hhsportion" id="top" name="top">
<a class="skipnav" href="#h1">Skip Navigation</a>
<a title="Archive: U.S. Department of Health and Human Services" href="http://archive.hhs.gov/"><img border="0" alt="Archive: U.S. Department of Health and Human Services" src="/images/hhs_banner_arch.gif" width="376" height="49"></a>
<a class="hhsright" title="U.S. Department of Health and Human Services" href="http://www.hhs.gov/"><img alt="U.S. Department of Health and Human Services" src="/images/hhs_link_arch.gif" width="127" height="41"></a>
</div>
<div class="ahrqportion">
<a title="Archive: Agency for Healthcare Research Quality" href="/"><img border="0" alt="Archive: Agency for Healthcare Research Quality" src="/images/ahrq_banner_arch.jpg" width="566" height="69"></a>
<form id="banner_searchform" method="get" name="searchForm" action="https://search.ahrq.gov/search">
<label style="Z-INDEX: -1; POSITION: relative; FONT-SIZE: 0px; MARGIN-RIGHT: -65px" for="search">Search</label>
<input id="search" class="gotext" onfocus="this.value='';" value=" Search Archive" size="11" type="text" name="q" label="Search archive"/>
<input type="hidden" name="siteDomain" value="archive.ahrq.gov">
<input class="gobtn" onclick="javascript:document.searchForm.submit();" alt="Search" src="/images/topbn_GoButton.gif" type="image" name="Submit"/>
</form><a class="ahrqright" title="AHRQ Home—Live Site" href="http://www.ahrq.gov">www.ahrq.gov</a>
</div>
<div class="ahrqlinks">
<a href="https://www.ahrq.gov/">AHRQ Home—Live Site</a> | <a href="/">Archive Home</a> | <a href="/sitemap.htm">Site Map</a>
</div>
</div>
<div id="PrintBanner"><img alt="Archival print banner" src="/images/printbanner_arch.jpg"/></div><a id="h1" name="h1"></a><!-- End of Page header -->
<!-- Content Body -->
<div id="mainContent">
<!-- Main Content -->
<!-- Center Content section -->
<table border="0" cellpadding="0" cellspacing="0" width="100%">
<tbody><tr valign="top">
<td width="70%">
<!-- Center Content section -->
<table style="margin-left: 10px; margin-right: 10px; margin-top: 5px;" summary="This table gives the layout format of the bread crumb area and the center content area." border="0" cellpadding="0" cellspacing="0" width="100%">
<!--DWLayoutTable-->
<tbody><tr>
<td class="crumb_link"><div id="crumbContent">
</span></p>
</div>
</td>
</tr>
<tr>
<td>
<div id="centerContent">
<div class="headnote">
<p>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: <a href="https://info.ahrq.gov/">https://info.ahrq.gov</a>. Let us know the nature of the problem, the Web address of what you want, and your contact information.</p>
<p>Please go to <a href="https://www.ahrq.gov/">www.ahrq.gov</a> for current information.</p>
</div>
<!-- T:ahrqPgPublication -->
<div role="main" id="page-container">
<div id="breadcrumb-container">
<div id="breadcrumbs" class="container_12">
<!-- T:SnBreadcrumbs -->
</div>
</div>
<div id="toolbar-container">
<div id="pub-toolbar" class="container_12">
<!-- T:ahrqSnPubNav -->
<div id="prev-next-buttons">
</div>
<div id="pub-utility-buttons">
<ul id="utility-groups">
<li class="utility content-button">
<a href="#" class=""><span>Table of Contents</span></a>
<div class="toc-dropdown">
<div class="arrow-up"></div>
<div class="toc-content">
<div>
<ul>
<li><a href="/research/findings/nhqrdr/nhqr12/index.html">Main Page</a></li>
<li><a href="/research/findings/nhqrdr/nhqr12/acknow.html">Acknowledgments</a></li>
<li><a href="/research/findings/nhqrdr/nhqr12/highlights.html">Highlights</a></li>
<li><a href="/research/findings/nhqrdr/nhqr12/chap1.html">Chapter 1. Introduction and Methods</a></li>
<li><a href="/research/findings/nhqrdr/nhqr12/chap2.html">Chapter 2. Effectiveness</a></li>
<li><a href="/research/findings/nhqrdr/nhqr12/chap3.html">Chapter 3. Patient Safety</a></li>
<li><a href="/research/findings/nhqrdr/nhqr12/chap4.html">Chapter 4. Timeliness</a></li>
<li><a href="/research/findings/nhqrdr/nhqr12/chap5.html">Chapter 5. Patient Centeredness</a></li>
<li><a href="/research/findings/nhqrdr/nhqr12/chap6.html">Chapter 6. Care Coordination</a></li>
<li><a href="/research/findings/nhqrdr/nhqr12/chap7.html">Chapter 7. Efficiency</a></li>
<li><a href="/research/findings/nhqrdr/nhqr12/chap8.html">Chapter 8. Health Systems Infrastructure</a></li>
<li><a href="/research/findings/nhqrdr/nhqr12/chap9.html">Chapter 9. Access to Health Care</a><br />
</li>
</ul>
</div>
</div>
</div>
</li>
<li class="utility download-button"><a href="#"><span>Download</span></a><div class="dl-dropdown"><div class="arrow-up"></div><div class="dl-content"><ul><li>
<span><a href="/research/findings/nhqrdr/nhqr12/2012nhqr.pdf">2012 National Healthcare Quality Report (NHQR) </a> [ <img src="/resources/file_logos/pdf.gif" alt="PDF file" title="PDF file" class="icon" /> - 8.09&nbsp;MB]</span>
</li></ul></div></div></li> </ul>
</div>
</div>
</div>
<div id="page-backdrop" class="container_12">
<div class="page">
<div id="left-col" class="alpha grid_3">
<nav id="left"><!-- T:SnleftNav -->
</nav> </div>
<!--<div id="content-col" class="grid_9">-->
<article class="grid_9">
<div class="body_field">
<!-- Right Rail -->
<aside class="three-col">
<!-- T:ahrqSnPubCover -->
<div id="pub-nums">
<ul>
<li class="pub-number">Publication # 13-0002</li> </ul>
</div>
<ul id="pub-buttons">
<li id="all-pubs-button"><a href="https://ahrqpubs.ahrq.gov/OA_HTML/ibeCCtpItmDspRte.jsp?sitex=10022:22372:US&item=49970"></a></li>
</ul>
</aside>
<!-- Center Rail -->
<h1>2012 National Healthcare Quality Report</h1>
<h2>Chapter 3, Text Descriptions for Figures</h2> <div id="basic-modal"><!-- start: Basic Modal -->
<div class="body_field_publication">
<h4 class="figcaption"><a id="fig31" name="fig31"></a>Figure 3.1. Postoperative sepsis per 1,000 elective-surgery discharges with an operating room procedure, by age and income, 2008-2009</h4><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Age Group / Income</th><th scope="col">2008</th><th scope="col">2009</th></tr><tr valign="top"><td scope="row">Total</td><td align="center">14.58</td><td align="center">15.31</td></tr><tr valign="top"><td scope="row">18-44</td><td align="center">11.4</td><td align="center">10.5</td></tr><tr valign="top"><td scope="row">45-64</td><td align="center">12.1</td><td align="center">13.0</td></tr><tr valign="top"><td scope="row">65+</td><td align="center">17.5</td><td align="center">18.5</td></tr><tr valign="top"><td scope="row">Poor</td><td align="center">15.0</td><td align="center">14.9</td></tr><tr valign="top"><td scope="row">Low Income</td><td align="center">14.3</td><td align="center">16.0</td></tr><tr valign="top"><td scope="row">Middle Income</td><td align="center">14.8</td><td align="center">15.0</td></tr><tr valign="top"><td scope="row">High Income</td><td align="center">14.2</td><td align="center">15.2</td></tr></table><p><strong>Source:</strong> Agency for Healthcare Research and Quality (AHRQ), Healthcare Cost and Utilization Project, Nationwide Inpatient Sample and AHRQ Quality Indicators, version 4.1.<br /><strong>Denominator:</strong> All elective hospital surgical discharges, age 18 and over, with length of stay of 4 or more days, excluding patients admitted for infection, patients with cancer or immunocompromised states, patients with obstetric conditions, and admissions specifically for sepsis.<br /><strong>Note:</strong> People age 18 and over. For this measure, lower rates are better. Rates are adjusted by age, gender, age-gender interactions, comorbidities, major diagnostic category (MDC), diagnosis-related group (DRG), and transfers into the hospital. When reporting is by age, the adjustment is by gender, comorbidities, MDC, DRG, and transfers into the hospital; when reporting is by gender, the adjustment is by age, comorbidities, MDC, DRG, and transfers into the hospital.</p><p><a href="/research/findings/nhqrdr/nhqr12/chap3.html#fig31">Return to Document</a></p><h4 class="figcaption"><a id="fig32" name="fig32"></a>Figure 3.2. Adult surgery patients with postoperative catheter-associated urinary tract infection, overall and by age, obesity, and COPD status, 2009-2010</h4><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Age Group / Obesity / COPD</th><th scope="col">2009</th><th scope="col">2010</th></tr><tr valign="top"><td scope="row">Total</td><td align="center">3.1</td><td align="center">3.6</td></tr><tr valign="top"><td scope="row">Under 65</td><td align="center">1.6</td><td align="center">1.9</td></tr><tr valign="top"><td scope="row">65-74</td><td align="center">3.3</td><td align="center">3.4</td></tr><tr valign="top"><td scope="row">75-84</td><td align="center">4.7</td><td align="center">5.1</td></tr><tr valign="top"><td scope="row">85+</td><td align="center">5.0</td><td align="center">6.3</td></tr><tr valign="top"><td scope="row">Not Obese</td><td align="center">3.0</td><td align="center">3.5</td></tr><tr valign="top"><td scope="row">Obese</td><td align="center">3.5</td><td align="center">3.8</td></tr><tr valign="top"><td scope="row">COPD - No</td><td align="center">2.8</td><td align="center">3.2</td></tr><tr valign="top"><td scope="row">COPD - Yes</td><td align="center">4.1</td><td align="center">4.6</td></tr></table><p><strong>Key:</strong> COPD = chronic obstructive pulmonary disease.<br /><strong>Source:</strong> Agency for Healthcare Research and Quality, Medicare Patient Safety Monitoring System, 2009-2010.<br /><strong>Denominator:</strong> Selected discharges of hospitalized patients age 18 and over having major surgery and meeting specific criteria for each measure.<br /><strong>Note:</strong> For this measure, lower rates are better.</p><p><a href="/research/findings/nhqrdr/nhqr12/chap3.html#fig32">Return to Document</a></p><h4 class="figcaption"><a id="fig33" name="fig33"></a>Figure 3.3. Admissions with central venous catheter-related bloodstream infection per 1,000 medical and surgical discharges of length 2 or more days, by insurance status and gender, 2008-2009</h4><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Insurance / Gender</th><th scope="col">2008</th><th scope="col">2009</th></tr><tr valign="top"><td scope="row">Total</td><td align="center">2.6</td><td align="center">2.8</td></tr><tr valign="top"><td scope="row">Any Private</td><td align="center">2.6</td><td align="center">2.7</td></tr><tr valign="top"><td scope="row">Medicaid</td><td align="center">3.5</td><td align="center">3.8</td></tr><tr valign="top"><td scope="row">Medicare</td><td align="center">2.5</td><td align="center">2.6</td></tr><tr valign="top"><td scope="row">Other Insurance</td><td align="center">2.9</td><td align="center">2.8</td></tr><tr valign="top"><td scope="row">Uninsured</td><td align="center">1.8</td><td align="center">1.8</td></tr><tr valign="top"><td scope="row">Male</td><td align="center">4.0</td><td align="center">3.9</td></tr><tr valign="top"><td scope="row">Female</td><td align="center">2.1</td><td align="center">2.3</td></tr></table><p><strong>Source:</strong> Agency for Healthcare Research and Quality (AHRQ), Healthcare Cost and Utilization Project, Nationwide Inpatient Sample and AHRQ Quality Indicators, version 4.1, 2008-2009.<br /><strong>Denominator:</strong> People age 18 and over or obstetric admissions.<br /><strong>Note:</strong> For this measure, lower rates are better.</p><p><a href="/research/findings/nhqrdr/nhqr12/chap3.html#fig33">Return to Document</a></p><h4 class="figcaption"><a id="fig34" name="fig34"></a>Figure 3.4. State variation: Standardized infection ratios for central line-associated bloodstream infections, 2010</h4><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col" width="20%">Quartile</th><th scope="col" width="80%">States</th></tr><tr valign="top"><td scope="row">First (best) Quartile</td><td>Washington, Oregon, Montana, New Mexico, Oklahoma, Iowa, Arkansas, Michigan, West Virginia, Pennsylvania, New Hampshire</td></tr><tr valign="top"><td scope="row">2nd Quartile</td><td>California, Colorado, Kansas, Texas, Illinois, Kentucky, Ohio, Virginia, Connecticut, Rhode Island, Massachusetts</td></tr><tr valign="top"><td scope="row">3rd Quartile</td><td>Nevada, Missouri, Louisiana, Mississippi, Wisconsin, Florida, Georgia, North Carolina, New Jersey, Vermont</td></tr><tr valign="top"><td scope="row">4th (worst) Quartile</td><td>Arizona, Nebraska, Indiana, Tennessee, Alabama, South Carolina, Maryland, Delaware, New York, Maine, Hawaii</td></tr><tr valign="top"><td scope="row">Missing</td><td>Idaho, Utah, Wyoming, North Dakota, South Dakota, Minnesota, District of Columbia, Puerto Rico, Alaska</td></tr></table><p><strong>Source:</strong> Centers for Disease Control and Prevention, National Healthcare Safety Network, 2010.<br /><strong>Denominator:</strong> Infections per 100,000 central-line days.</p><p><a href="/research/findings/nhqrdr/nhqr12/chap3.html#fig34">Return to Document</a></p><h4 class="figcaption"><a id="fig35" name="fig35"></a>Figure 3.5. Bloodstream infections per 1,000 central-line days, by type of pediatric intensive care unit (PICU) and birth weight of child, 2009-2010</h4><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Type of PICU / Birth Weight</th><th scope="col">2009</th><th scope="col">2010</th></tr><tr valign="top"><td scope="row">Pediatric Medical/Surgical ICU</td><td align="center">2.2</td><td align="center">1.8</td></tr><tr valign="top"><td scope="row">Pediatric Cardiothoracic ICU</td><td align="center">2.5</td><td align="center">2.1</td></tr><tr valign="top"><td scope="row">Pediatric Medical ICU</td><td align="center">2.6</td><td align="center">1.9</td></tr><tr valign="top"><td scope="row">0-750 g</td><td align="center">3.4</td><td align="center">2.6</td></tr><tr valign="top"><td scope="row">751-1,000 g</td><td align="center">2.7</td><td align="center">2.2</td></tr><tr valign="top"><td scope="row">1,001-1,500 g</td><td align="center">1.9</td><td align="center">1.3</td></tr><tr valign="top"><td scope="row">1,501-2,500 g</td><td align="center">1.5</td><td align="center">1</td></tr><tr valign="top"><td scope="row">&gt;2,500 g</td><td align="center">1.3</td><td align="center">0.8</td></tr></table><p><strong>Key:</strong> ICU = intensive care unit.<br /><strong>Source:</strong> Centers for Disease Control and Prevention, National Healthcare Safety Network, 2009-2010.<br /><strong>Denominator:</strong> Infections per 100,000 central-line days.<br /><strong>Note:</strong> For this measure, lower rates are better.</p><p><a href="/research/findings/nhqrdr/nhqr12/chap3.html#fig35">Return to Document</a></p><h4 class="figcaption"><a id="fig36" name="fig36"></a>Figure 3.6. Composite: Mechanical adverse events associated with central venous catheter placement, by obesity status, CHF/pulmonary edema status, and renal disease status, 2009-2010</h4><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Obesity/CHF/Renal Disease Status</th><th scope="col">2009</th><th scope="col">2010</th></tr><tr valign="top"><td scope="row">Total</td><td align="center">3.9</td><td align="center">3.3</td></tr><tr valign="top"><td scope="row">Not Obese</td><td align="center">3.8</td><td align="center">3.0</td></tr><tr valign="top"><td scope="row">Obese</td><td align="center">4.1</td><td align="center">4.0</td></tr><tr valign="top"><td scope="row">CHF/Pulmonary Edema - No</td><td align="center">3.1</td><td align="center">2.6</td></tr><tr valign="top"><td scope="row">CHF/Pulmonary Edema - Yes</td><td align="center">5.1</td><td align="center">4.0</td></tr><tr valign="top"><td scope="row">Renal Disease - No</td><td align="center">3.2</td><td align="center">2.8</td></tr><tr valign="top"><td scope="row">Renal Disease - Yes</td><td align="center">5.4</td><td align="center">4.1</td></tr></table><p><strong>Key:</strong> CHF = congestive heart failure.<br /><strong>Source:</strong> Agency for Healthcare Research and Quality, Medicare Patient Safety Monitoring System, 2009-2010.<br /><strong>Denominator:</strong> Selected discharges of hospitalized patients age 18 and over with central venous catheter placement.<br /><strong>Note:</strong> For this measure, lower rates are better. Mechanical adverse events include allergic reaction to the catheter, tamponade, perforation, pneumothorax, hematoma, shearing off of the catheter, air embolism, misplaced catheter, thrombosis or embolism, knotting of the pulmonary artery catheter, and certain other events.</p><p><a href="/research/findings/nhqrdr/nhqr12/chap3.html#fig36">Return to Document</a></p><h4 class="figcaption"><a id="fig37" name="fig37"></a>Figure 3.7. Obstetric trauma with 3rd or 4th degree laceration per 1,000 vaginal deliveries without instrument assistance, by age and insurance, 2004-2009</h4><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Year</th><th scope="col">10-14</th><th scope="col">15-17</th><th scope="col">18-24</th><th scope="col">25-34</th><th scope="col">35-54</th></tr><tr valign="top"><td scope="row">2004</td><td align="center">50.5</td><td align="center">34.6</td><td align="center">26.7</td><td align="center">33.0</td><td align="center">24.9</td></tr><tr valign="top"><td scope="row">2005</td><td align="center">40.3</td><td align="center">34.3</td><td align="center">26.3</td><td align="center">30.5</td><td align="center">24.6</td></tr><tr valign="top"><td scope="row">2006</td><td align="center">46.2</td><td align="center">27.9</td><td align="center">23.5</td><td align="center">27.6</td><td align="center">22.0</td></tr><tr valign="top"><td scope="row">2007</td><td align="center">37.8</td><td align="center">28.3</td><td align="center">21.5</td><td align="center">25.9</td><td align="center">20.6</td></tr><tr valign="top"><td scope="row">2008</td><td align="center">32.7</td><td align="center">26.0</td><td align="center">21.3</td><td align="center">26.2</td><td align="center">19.4</td></tr><tr valign="top"><td scope="row">2009</td><td align="center">36.7</td><td align="center">23.9</td><td align="center">19.3</td><td align="center">24.9</td><td align="center">18.8</td></tr></table><p>&#160;</p><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Insurance</th><th scope="col">2004</th><th scope="col">2005</th><th scope="col">2006</th><th scope="col">2007</th><th scope="col">2008</th><th scope="col">2009</th></tr><tr valign="top"><td scope="row">Total</td><td align="center">30.0</td><td align="center">28.5</td><td align="center">25.6</td><td align="center">23.8</td><td align="center">23.7</td><td align="center">22.2</td></tr><tr valign="top"><td scope="row">Private</td><td align="center">36.3</td><td align="center">34.4</td><td align="center">31.9</td><td align="center">29.8</td><td align="center">29.3</td><td align="center">28.2</td></tr><tr valign="top"><td scope="row">Medicare</td><td align="center">19.2</td><td align="center">26.8</td><td align="center">24.9</td><td align="center">17.4</td><td align="center">17.4</td><td align="center">11.9</td></tr><tr valign="top"><td scope="row">Medicaid</td><td align="center">19.8</td><td align="center">20.3</td><td align="center">17.4</td><td align="center">15.8</td><td align="center">15.9</td><td align="center">14.6</td></tr><tr valign="top"><td scope="row">Uninsured</td><td align="center">25.2</td><td align="center">25.5</td><td align="center">23.3</td><td align="center">23.7</td><td align="center">21.3</td><td align="center">19.6</td></tr></table><p><strong>Key:</strong> Private indicates private health insurance as the payment source; uninsured indicates self-pay, uninsured, and no charge as the payment source.<br /><strong>Source:</strong> Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, Nationwide Inpatient Sample and AHRQ Quality Indicators, modified version 4.1.<br /><strong>Denominator:</strong> All patients hospitalized for vaginal delivery without indication of instrument assistance.<br /><strong>Note:</strong> For this measure, lower rates are better. Rates are adjusted by age. Rates by age are not age adjusted.</p><p><a href="/research/findings/nhqrdr/nhqr12/chap3.html#fig37">Return to Document</a></p><h4 class="figcaption"><a id="fig38" name="fig38"></a>Figure 3.8. 2010 national overall hospital-acquired condition rate</h4><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Hospital-acquired Condition</th><th scope="col">2010</th></tr><tr valign="top"><td scope="row">Adverse Drug Events</td><td align="center">34.1</td></tr><tr valign="top"><td scope="row">Catheter-Associated Urinary Tract Infections</td><td align="center">8.4</td></tr><tr valign="top"><td scope="row">Central Line-Associated Bloodstream Infections</td><td align="center">0.4</td></tr><tr valign="top"><td scope="row">Falls</td><td align="center">5.5</td></tr><tr valign="top"><td scope="row">Obstetric Adverse Events</td><td align="center">1.7</td></tr><tr valign="top"><td scope="row">Pressure Ulcers</td><td align="center">27.8</td></tr><tr valign="top"><td scope="row">Surgical Site Infections</td><td align="center">2</td></tr><tr valign="top"><td scope="row">Ventilator-Associated Pneumonia</td><td align="center">0.8</td></tr><tr valign="top"><td scope="row">Venous Thromboembolism</td><td align="center">0.3</td></tr><tr valign="top"><td scope="row">All Other HACs</td><td align="center">18.8</td></tr></table><p><strong>Source:</strong> Agency for Healthcare Research and Quality, Medicare Patient Safety Monitoring System, 2010; Centers for Disease Control and Prevention, National Healthcare Safety Network, 2009-2010; and Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, Nationwide Inpatient Sample and AHRQ Quality Indicators, version 4.1.<br /><strong>Note:</strong> People age 18 and over.</p><p><a href="/research/findings/nhqrdr/nhqr12/chap3.html#fig38">Return to Document</a></p><h4 class="figcaption"><a id="fig39" name="fig39"></a>Figure 3.9. 2011 Patient Safety Culture Composite Findings</h4><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Patient Safety Culture Aspect</th><th scope="col">% Positive Response</th></tr><tr valign="top"><td scope="row">1. Teamwork Within Units</td><td align="center">80%</td></tr><tr valign="top"><td scope="row">2. Supv/Mgr Expectations &amp; Actions Promoting Patient Safety</td><td align="center">75%</td></tr><tr valign="top"><td scope="row">3. Organizational Learning - Continuous Improvement</td><td align="center">72%</td></tr><tr valign="top"><td scope="row">4. Management Support for Patient Safety</td><td align="center">72%</td></tr><tr valign="top"><td scope="row">5. Overall Perceptions of Patient Safety</td><td align="center">66%</td></tr><tr valign="top"><td scope="row">6. Feedback &amp; Communication About Error</td><td align="center">64%</td></tr><tr valign="top"><td scope="row">7. Frequency of Events Reported</td><td align="center">63%</td></tr><tr valign="top"><td scope="row">8. Communication Openness</td><td align="center">62%</td></tr><tr valign="top"><td scope="row">9. Teamwork Across Units</td><td align="center">58%</td></tr><tr valign="top"><td scope="row">10. Staffing</td><td align="center">56%</td></tr><tr valign="top"><td scope="row">11. Handoffs &amp; Transitions</td><td align="center">45%</td></tr><tr valign="top"><td scope="row">12. Nonpunitive Response to Error</td><td align="center">44%</td></tr></table><p><strong>Source:</strong> U.S. Agency for Healthcare Research and Quality, Hospital Survey on Patient Safety Culture: 2012 Comparative Database Report.<br /><strong>Denominator:</strong> Hospital staff responding to the 2011 Hospital Survey on Patient Safety Culture.</p><p><a href="/research/findings/nhqrdr/nhqr12/chap3.html#fig39">Return to Document</a></p><h4 class="figcaption"><a id="fig310" name="fig310"></a>Figure 3.10. 2011 Overall Average Patient Safety Culture Percent Positive Response Across Composites by Geographic Region</h4><table border="1" cellspacing="0" padding="4" width="90%"><tr valign="top"><th scope="col">Geographic Region</th><th scope="col">Percentage</th></tr><tr valign="top"><td scope="row">West South Central</td><td align="center">65%</td></tr><tr valign="top"><td scope="row">South Atlantic</td><td align="center">65%</td></tr><tr valign="top"><td scope="row">East South Central</td><td align="center">65%</td></tr><tr valign="top"><td scope="row">West North Central</td><td align="center">64%</td></tr><tr valign="top"><td scope="row">Mountain</td><td align="center">62%</td></tr><tr valign="top"><td scope="row">East North Central</td><td align="center">62%</td></tr><tr valign="top"><td scope="row">Pacific</td><td align="center">62%</td></tr><tr valign="top"><td scope="row">Mid-Atlantic</td><td align="center">61%</td></tr><tr valign="top"><td scope="row">New England</td><td align="center">60%</td></tr></table><p><strong>Source:</strong> U.S. Agency for Healthcare Research and Quality, Hospital Survey on Patient Safety Culture: 2012 Comparative Database Report.<br /><strong>Denominator:</strong> Hospital staff responding to the 2011 Hospital Survey on Patient Safety Culture.</p><p><a href="/research/findings/nhqrdr/nhqr12/chap3.html#fig310">Return to Document</a></p> </div>
</div><!-- end: Basic Modal -->
<div class="current-as-of">Page last reviewed May 2013</div>
<div class="citation">
<span>Internet Citation: 2012 National Healthcare Quality Report: Chapter 3, Text Descriptions for Figures.
May 2013. Agency for Healthcare Research and Quality, Rockville, MD. http://archive.ahrq.gov/research/findings/nhqrdr/nhqr12/chap3-text.html</span>
<div class="citation-flag"></div>
</div>
</div>
</article>
</div>
</div>
</div>
<p>&nbsp;</p>
<div class="footnote">
<p> The information on this page is archived and provided for reference purposes only.</p>
</div>
<p>&nbsp;</p>
</div>
</td>
</tr>
</tbody>
</table>
</td>
</tr>
</tbody>
</table>
</div><!-- End of Content Body -->
<!-- Footer graphic 1.2-->
<table border="0" cellSpacing="0" cellPadding="0" width="100%">
<tbody>
<tr>
<td background="/images/bottom_ahrq_bkg.jpg" width="125">
<img alt="AHRQ" src="/images/bottom_ahrq_1.jpg" width="125">
</td>
<td background="/images/bottom_ahrq_bkg.jpg" width="100%">
<img alt="" src="/images/bottom_ahrq_bkg.jpg" width="10" height="34">
</td>
<td background="/images/bottom_ahrq_bkg.jpg" width="310">
<img alt="Advancing Excellence in Health Care" src="/images/bottom_ahrq_2.gif" width="310" height="34">
</td>
</tr>
</tbody>
</table>
<!-- Footer links section -->
<div id="banner_Footer2">
<p>
<a href="https://www.ahrq.gov/">AHRQ Home</a> |
<a class="footer_navlink" href="https://info.ahrq.gov/cgi-bin/ahrq.cfg/php/enduser/std_alp.php">Questions?</a> |
<a class="footer_navlink" href="https://www.ahrq.gov/contact/index.html">Contact AHRQ</a> |
<a class="footer_navlink" href="https://www.ahrq.gov/policy/electronic/accessibility/index.html">Accessibility</a> |
<a class="footer_navlink" href="https://www.ahrq.gov/policy/electronic/privacy/index.html">Privacy Policy</a> |
<a class="footer_navlink" href="https://www.ahrq.gov/news/foia.htm">Freedom of Information Act</a> |
<a class="footer_navlink" href="https://www.ahrq.gov/policy/electronic/disclaimers/index.html">Disclaimers</a> |
<a class="footer_navlink" href="http://www.hhs.gov/open/recordsandreports/plainwritingact/index.html">Plain Writing Act</a>
<br/>
<a class="footer_navlink" href="http://www.hhs.gov">U.S. Department of Health &amp; Human Services</a> |
<a class="footer_navlink" href="http://www.whitehouse.gov">The White House</a> |
<a class="footer_navlink" href="http://www.usa.gov">USA.gov: The U.S. Government's Official Web Portal</a>
</p>
</div>
<div id="banner_Footeraddress">
<p>
Agency for Healthcare Research and Quality <img alt="" src="/images/bottom_dot.gif"> 5600 Fishers Lane Rockville, MD 20857 <img alt="" src="/images/bottom_dot.gif">
Telephone: (301) 427-1364
</p>
</div>
<!-- End of Footer links section -->
<!-- JavaScript at the bottom for fast page loading: http://developer.yahoo.com/performance/rules.html#js_bottom -->
<!-- Grab Google CDN's jQuery, with a protocol relative URL; fall back to local if offline -->
<!-- <script src="//ajax.googleapis.com/ajax/libs/jquery/1.7.2/jquery.min.js"></script>
<script>window.jQuery || document.write('<script src="js/libs/jquery-1.7.2.min.js"><\/script>')</script>-->
<!-- scripts concatenated and minified via build script -->
<!-- <script src="/js/plugins.js"></script>
<script src="/js/script.js"></script>-->
<!-- end scripts -->
</body>
</html>
Reference in a new issue View git blame Copy permalink