T12_3_2_2_1

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
		2008		2007		2005		2004		2000
Population group		Rate	SE	Rate	SE	Rate	SE	Rate	SE	Rate	SE
Total		0.78	0.02	0.78	0.02	0.75	0.01	0.77	0.02	0.64	0.02
Age	0-4	0.74	0.02	0.74	0.02	0.72	0.02	0.77	0.02	0.68	0.02
	5-9	0.76	0.05	0.81	0.05	0.75	0.04	0.64	0.05	0.54	0.05
	10-14	0.90	0.05	1.00	0.05	0.85	0.04	0.74	0.05	0.69	0.05
	15-17	1.04	0.05	0.95	0.05	0.88	0.05	1.16	0.05	0.68	0.05
Gender	Male	0.92	0.02	0.99	0.02	0.91	0.02	0.98	0.02	0.81	0.02
Gender	Female	0.64	0.02	0.55	0.02	0.56	0.02	0.56	0.02	0.49	0.02
Median income of patient's ZIP Code	First quartile (lowest income)	0.77	0.03	0.75	0.03	0.83	0.03	0.81	0.03	0.66	0.03
	Second quartile	0.81	0.03	0.95	0.03	0.74	0.03	0.75	0.03	0.69	0.03
	Third quartile	0.86	0.03	0.74	0.03	0.83	0.03	0.85	0.03	0.66	0.03
	Fourth quartile (highest income)	0.68	0.03	0.69	0.03	0.59	0.03	0.69	0.03	0.55	0.03
Location of patient residence	Large central metropolitan	0.67	0.03	0.72	0.03	0.65	0.02	0.62	0.03	0.46	0.03
	Large fringe metropolitan	0.85	0.03	0.67	0.03	0.70	0.03	0.66	0.03	0.59	0.03
	Medium metropolitan	0.82	0.03	0.90	0.04	0.81	0.03	1.03	0.03	0.83	0.04
	Small metropolitan	0.88	0.06	0.80	0.05	0.89	0.05	0.67	0.05	0.63	0.05
	Micropolitan	0.72	0.05	0.98	0.05	0.76	0.04	0.85	0.05	1.05	0.06
	Noncore	0.94	0.07	0.93	0.07	0.99	0.05	1.08	0.06	0.86	0.07
Expected payment source	Private insurance	0.74	0.02	0.73	0.02	0.72	0.02	0.77	0.02	0.61	0.02
	Medicare	0.89	0.21	1.85	0.25	2.01	0.25	2.28	0.28	DSU	DSU
	Medicaid	0.83	0.02	0.85	0.02	0.76	0.02	0.77	0.02	0.70	0.03
	Other insurance	0.92	0.09	0.46	0.08	0.82	0.06	0.88	0.08	0.78	0.09
	Uninsured/self-pay/no charge	0.58	0.09	0.79	0.08	0.75	0.07	0.69	0.08	0.55	0.08
Region of inpatient treatment	Northeast	0.63	0.03	0.72	0.04	0.67	0.03	0.74	0.04	0.62	0.04
	Midwest	0.87	0.04	0.91	0.03	0.93	0.03	0.57	0.03	0.68	0.03
	South	0.79	0.03	0.72	0.02	0.65	0.02	0.82	0.03	0.56	0.03
	West	0.84	0.03	0.82	0.04	0.78	0.03	0.93	0.03	0.71	0.03
Ownership/control of hospital	Private, not for profit	0.72	0.02	0.76	0.02	0.78	0.02	0.72	0.02	0.59	0.02
	Private, for profit	0.71	0.07	0.73	0.05	0.33	0.05	1.20	0.05	0.61	0.06
	Public	1.01	0.04	0.90	0.04	0.74	0.04	0.82	0.04	0.97	0.04
Teaching status of hospital	Teaching	0.83	0.02	0.76	0.02	0.75	0.02	0.68	0.02	0.64	0.02
Teaching status of hospital	Nonteaching	0.71	0.03	0.81	0.03	0.74	0.02	0.93	0.03	0.64	0.02
Location of hospital	Large central metropolitan	0.70	0.02	0.81	0.02	0.77	0.02	0.65	0.02	0.60	0.02
	Large fringe metropolitan	0.81	0.05	0.59	0.03	0.53	0.04	0.58	0.04	0.53	0.04
	Medium metropolitan	0.95	0.03	0.78	0.04	0.79	0.03	1.04	0.04	0.78	0.04
	Small metropolitan	1.01	0.07	1.01	0.06	0.74	0.06	0.86	0.05	0.55	0.06
	Micropolitan	0.64	0.08	1.12	0.08	0.87	0.08	1.30	0.07	1.03	0.08
	Noncore	0.72	0.17	0.72	0.16	1.12	0.15	1.39	0.15	1.13	0.12
Bed size of hospital	Less than 100	0.42	0.07	1.16	0.08	0.57	0.06	0.93	0.06	1.01	0.06
	100-299	0.80	0.03	0.80	0.03	0.88	0.02	0.84	0.03	0.63	0.03
	300-499	0.84	0.03	0.78	0.03	0.56	0.02	0.88	0.03	0.61	0.03
	500 or more	0.77	0.03	0.73	0.03	0.82	0.03	0.63	0.03	0.58	0.03

^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. http://archive.ahrq.gov/research/findings/nhqrdr/nhqrdr11/12_patientsafety/T12_3_2_2_1.html