2012 National Healthcare Quality Report

Figure 3.1. Postoperative sepsis per 1,000 elective-surgery discharges with an operating room procedure, by age and income, 2008-2009

Source: Agency for Healthcare Research and Quality (AHRQ), Healthcare Cost and Utilization Project, Nationwide Inpatient Sample and AHRQ Quality Indicators, version 4.1.
Denominator: 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.
Note: 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.

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Figure 3.2. Adult surgery patients with postoperative catheter-associated urinary tract infection, overall and by age, obesity, and COPD status, 2009-2010

Key: COPD = chronic obstructive pulmonary disease.
Source: Agency for Healthcare Research and Quality, Medicare Patient Safety Monitoring System, 2009-2010.
Denominator: Selected discharges of hospitalized patients age 18 and over having major surgery and meeting specific criteria for each measure.
Note: For this measure, lower rates are better.

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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

Source: Agency for Healthcare Research and Quality (AHRQ), Healthcare Cost and Utilization Project, Nationwide Inpatient Sample and AHRQ Quality Indicators, version 4.1, 2008-2009.
Denominator: People age 18 and over or obstetric admissions.
Note: For this measure, lower rates are better.

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Figure 3.4. State variation: Standardized infection ratios for central line-associated bloodstream infections, 2010

Source: Centers for Disease Control and Prevention, National Healthcare Safety Network, 2010.
Denominator: Infections per 100,000 central-line days.

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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

Key: ICU = intensive care unit.
Source: Centers for Disease Control and Prevention, National Healthcare Safety Network, 2009-2010.
Denominator: Infections per 100,000 central-line days.
Note: For this measure, lower rates are better.

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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

Key: CHF = congestive heart failure.
Source: Agency for Healthcare Research and Quality, Medicare Patient Safety Monitoring System, 2009-2010.
Denominator: Selected discharges of hospitalized patients age 18 and over with central venous catheter placement.
Note: 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.

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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

Key: Private indicates private health insurance as the payment source; uninsured indicates self-pay, uninsured, and no charge as the payment source.
Source: Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project, Nationwide Inpatient Sample and AHRQ Quality Indicators, modified version 4.1.
Denominator: All patients hospitalized for vaginal delivery without indication of instrument assistance.
Note: For this measure, lower rates are better. Rates are adjusted by age. Rates by age are not age adjusted.

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Figure 3.8. 2010 national overall hospital-acquired condition rate

Source: 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.
Note: People age 18 and over.

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Figure 3.9. 2011 Patient Safety Culture Composite Findings

Source: U.S. Agency for Healthcare Research and Quality, Hospital Survey on Patient Safety Culture: 2012 Comparative Database Report.
Denominator: Hospital staff responding to the 2011 Hospital Survey on Patient Safety Culture.

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Figure 3.10. 2011 Overall Average Patient Safety Culture Percent Positive Response Across Composites by Geographic Region

Source: U.S. Agency for Healthcare Research and Quality, Hospital Survey on Patient Safety Culture: 2012 Comparative Database Report.
Denominator: Hospital staff responding to the 2011 Hospital Survey on Patient Safety Culture.

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