Table 10_4_3-3 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_3.3Obstetric trauma with 3rd or 4th degree lacerations per 1,000 instrument-assisted vaginal deliveries, by State, 2000 and 2005State20052000RateaSERateaSETotal168.00.7204.00.6Arizona168.05.1185.74.9Arkansas133.57.4DNCDNCCalifornia145.12.0159.31.7Colorado189.95.5218.44.6Connecticut189.87.3252.46.4Florida130.73.8174.53.4Georgia158.44.1188.13.7Hawaii199.713.2236.911.2Illinois184.43.6201.13.1Iowa183.66.7230.26.1Kansas201.67.1231.36.4Kentucky169.96.2218.55.1Maryland180.96.0199.14.9Massachusetts178.26.3223.35.2Minnesota191.84.9DNCDNCMissouri165.65.4188.94.3Nebraska258.78.5DNCDNCNevada172.27.3DNCDNCNew Hampshire229.714.0DNCDNCNew York169.74.0198.93.5North Carolina173.34.2203.83.5Oklahoma160.16.7DNCDNCOregon176.17.7193.16.5Rhode Island191.013.2DNCDNCSouth Carolina170.05.9193.35.1Tennessee151.35.0184.74.5Utah164.55.9203.44.9Vermont220.318.7DNCDNCWashington182.75.0228.64.6West Virginia149.110.1187.47.9Wisconsin176.95.2231.44.9a Rates are adjusted by age.DNC - Data were not collected.Key: SE: standard error.Source: Agency for Healthcare Research and Quality (AHRQ), Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project (HCUP) databases and AHRQ Quality Indicators, version 3.1. State estimates are from the State Inpatient Databases (SID), and not all States participate in HCUP. Estimates for the total U.S. are from the Nationwide Inpatient Sample, which is drawn from the SID and weighted to give national estimates. Current as of September 2009 Internet Citation: Table 10_4_3-3: 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_3-3.html