Table 6_2_3-1 2009 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 6_2_3.1Obstetric trauma with 3rd or 4th degree lacerations per 1,000 instrument-assisted vaginal deliveries, United States, 2000 and 2006 20062000Population groupRateaSERateaSETotal 160.60.8204.00.6Age10–14207.515.6250.212.915–17130.13.1177.12.618–24133.21.2167.81.125–34193.01.2239.21.035–54131.72.0176.81.6Median income of patient's ZIP codeFirst quartile (lowest income)133.11.5175.01.4Second quartile149.41.5193.31.3Third quartile169.01.5212.11.3Fourth quartile (highest income)191.21.5227.51.2Location of patient residenceLarge central metropolitan157.91.4198.31.1Large fringe metropolitan177.01.6218.71.2Medium metropolitan172.51.7216.61.7Small metropolitan149.32.4198.82.1Micropolitan (nonmetro)139.82.3174.22.2Noncore (nonmetro)130.33.1191.22.7Expected payment sourcePrivate insurance184.91.0222.80.8Medicare157.412.3110.010.0Medicaid127.21.2166.61.2Other insurance144.05.0190.34.5Uninsured/self-pay/no charge167.73.9185.93.3Region of inpatient treatmentNortheast176.52.3217.31.7Midwest179.91.5221.71.3South147.11.3204.91.1West153.31.5176.61.3Ownership/control of hospitalPrivate, not for profit167.70.9213.30.8Private, for profit130.21.9160.71.8Public161.62.0196.11.9Teaching status of hospitalTeaching177.51.3239.41.2Nonteaching152.30.9187.90.8Location of hospitalLarge central metropolitan162.01.3202.11.1Large fringe metropolitan171.51.8215.21.3Medium metropolitan171.01.6218.61.6Small metropolitan146.92.3203.81.9Micropolitan (nonmetro)134.72.4162.42.2Noncore (nonmetro)137.34.4184.83.6Bed size of hospitalLess than 100140.92.0170.71.9100–299148.21.3189.51.0300–499165.11.4214.61.3500 or more190.01.7238.31.4a Rates are adjusted by age and comorbidities. When reporting is by age, the adjustment is by comorbidities only.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 March 2010 Internet Citation: Table 6_2_3-1: 2009 National Healthcare Quality and Disparities Reports. March 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr09/6_maternalchildhealth/T6_2_3-1.html