Table 10_4_3-1 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_3.1Obstetric trauma with 3rd or 4th degree lacerations per 1,000 instrument-assisted vaginal deliveries, United States, 2000 and 2005Population group20052000RateaSERateaSETotal168.00.7204.00.6Age10–14140.016.2250.212.915–17142.93.1177.12.618–24139.01.2167.81.125–34201.21.2239.21.035–54137.51.9176.81.6Median income of patient's ZIP CodeFirst quartile (lowest income)143.01.5175.01.4Second quartile162.21.5193.31.3Third quartile177.81.5212.11.3Fourth quartile (highest income)189.81.5227.51.2Location of patient residenceLarge central metropolitan174.71.3198.31.1Large fringe metropolitan177.81.6218.71.2Medium metropolitan166.81.7216.61.7Small metropolitan156.62.5198.82.1Micropolitan (nonmetro)151.42.3174.22.2Noncore (nonmetro)148.63.0191.22.7Expected payment sourcePrivate insurance187.91.0222.80.8Medicare145.39.3110.010.0Medicaid137.81.2166.61.2Other insurance183.04.8190.34.5Uninsured/self-pay/no charge172.74.3185.93.3Region of inpatient treatmentNortheast175.22.0217.31.7Midwest184.31.5221.71.3South157.41.2204.91.1West163.91.5176.61.3Ownership/control of hospitalPrivate, not for profit170.20.9213.30.8Private, for profit139.41.9160.71.8Public193.22.2196.11.9Teaching status of hospitalTeaching193.81.4239.41.2Nonteaching156.90.9187.90.8Location of hospitalLarge central metropolitan176.61.2202.11.1Large fringe metropolitan174.51.8215.21.3Medium metropolitan165.01.6218.61.6Small metropolitan158.02.4203.81.9Micropolitan (nonmetro)146.92.3162.42.2Noncore (nonmetro)151.94.4184.83.6Bed size of hospitalLess than 100145.12.0170.71.9100–299164.31.2189.51.0300–499176.91.5214.61.3500 or more182.01.8238.31.4a 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_3-1: 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_3-1.html