Table 10_4_2-1 2008 National Healthcare Quality and Disparities ReportsThe 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 10_4_2.1Obstetric trauma with 3rd or 4th degree lacerations per 1,000 vaginal deliveries without instrument assistance, United States, 2000 and 2005Population group20052000RateaSERateaSETotal40.10.151.70.1Age10–1461.53.898.23.415–1759.10.868.50.718–2438.90.248.30.225–3442.30.255.90.235–5429.70.339.50.3Median income of patient's ZIP CodeFirst quartile (lowest income)33.10.244.50.2Second quartile38.60.248.70.2Third quartile43.20.353.60.3Fourth quartile (highest income)47.40.360.00.2Location of patient residenceLarge central metropolitan41.20.251.80.2Large fringe metropolitan43.10.354.80.2Medium metropolitan39.20.352.10.3Small metropolitan36.40.452.30.4Micropolitan (nonmetro)37.10.444.00.4Noncore (nonmetro)35.50.545.90.5Expected payment sourcePrivate insurance46.10.258.80.2Medicare37.21.933.41.8Medicaid34.00.241.50.2Other insurance36.50.851.20.8Uninsured/self-pay/no charge36.30.644.30.6Region of inpatient treatmentNortheast36.00.355.30.3Midwest44.40.354.60.3South39.30.250.60.2West40.70.347.90.3Ownership/control of hospitalPrivate, not for profit40.90.253.90.1Private, for profit36.20.344.00.4Public40.30.346.50.3Teaching status of hospitalTeaching44.80.257.10.2Nonteaching37.70.249.10.1Location of hospitalLarge central metropolitan41.80.251.90.2Large fringe metropolitan42.30.354.80.3Medium metropolitan38.90.352.10.3Small metropolitan37.80.453.50.4Micropolitan (nonmetro)36.90.441.30.4Noncore (nonmetro)30.00.743.90.7Bed size of hospitalLess than 10033.30.444.30.4100–29939.90.249.60.2300–49940.70.254.40.2500 or more43.60.356.10.3a Rates are adjusted by age. When reporting is by age, there is no adjustment.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, version 3.1. Current as of September 2009 Internet Citation: Table 10_4_2-1: 2008 National Healthcare Quality and Disparities Reports. September 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr08/10_patientsafety/T10_4_2-1.html