Table 6_2_3-1 2010 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,a United States, 2000, 2004-2007 20072006200520042000Population groupRateSERateSERateSERateSERateSETotal 147.60.8160.60.8168.00.7179.30.7204.00.6Age10-14145.815.9207.515.6140.016.2168.416.0250.212.915-17123.13.1130.13.1142.93.1141.03.0177.12.618-24117.81.2133.21.2139.01.2150.21.1167.81.125-34180.31.2193.01.2201.21.2213.11.1239.21.035-54121.72.0131.72.0137.51.9148.61.8176.81.6Median income of patient's ZIP CodeFirst quartile (lowest income)123.11.5133.11.5143.01.5148.51.5175.01.4Second quartile136.91.5149.41.5162.21.5171.91.5193.31.3Third quartile151.91.6169.01.5177.81.5186.81.5212.11.3Fourth quartile (highest income)180.91.5191.21.5189.81.5206.11.4227.51.2Location of patient residenceLarge central metropolitan148.71.3157.91.4174.71.3169.61.3198.31.1Large fringe metropolitan163.61.6177.01.6177.81.6196.91.5218.71.2Medium metropolitan142.61.8172.51.7166.81.7185.31.7216.61.7Small metropolitan138.72.4149.32.4156.62.5188.32.2198.82.1Micropolitan (nonmetropolitan)130.02.3139.82.3151.42.3160.72.3174.22.2Noncore (nonmetropolitan)140.53.2130.33.1148.63.0163.33.0191.22.7Expected payment sourcePrivate170.51.0184.91.0187.91.0204.90.9222.80.8Medicare123.98.9157.412.3145.39.3138.114.3110.010.0Medicaid114.11.2127.21.2137.81.2139.11.2166.61.2Other148.84.4144.05.0183.04.8179.44.7190.34.5Uninsured/self-pay/no charge156.94.1167.73.9172.74.3155.04.2185.93.3Region of inpatient treatmentNortheast150.52.1176.52.3175.22.0200.82.0217.31.7Midwest166.31.5179.91.5184.31.5199.11.5221.71.3South141.41.3147.11.3157.41.2169.21.2204.91.1West136.81.5153.31.5163.91.5164.71.4176.61.3Ownership/control of hospitalPrivate, not for profit149.20.9167.70.9170.20.9192.10.9213.30.8Private, for profit126.62.1130.21.9139.41.9122.01.9160.71.8Public160.32.2161.62.0193.22.2173.52.1196.11.9Teaching status of hospitalTeaching159.11.3177.51.3193.81.4210.81.3239.41.2Nonteaching141.50.9152.30.9156.90.9166.40.9187.90.8Location of hospitalLarge central metropolitan151.81.2162.01.3176.61.2172.91.2202.11.1Large fringe metropolitan160.21.8171.51.8174.51.8192.11.7215.21.3Medium metropolitan143.11.8171.01.6165.01.6186.11.6218.61.6Small metropolitan138.92.3146.92.3158.02.4194.72.1203.81.9Micropolitan (nonmetropolitan)131.12.3134.72.4146.92.3148.22.4162.42.2Noncore (nonmetropolitan)136.64.8137.34.4151.94.4162.44.3184.83.6Bed size of hospitalLess than 100134.52.1140.92.0145.12.0153.82.1170.71.9100-299143.31.2148.21.3164.31.2170.31.1189.51.0300-499143.21.4165.11.4176.91.5191.51.4214.61.3500 or more169.91.7190.01.7182.01.8198.81.7238.31.4a Rates are adjusted by age and comorbidities.�� When reporting is by age, the adjustment is only by comorbidities.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 February 2011 Internet Citation: Table 6_2_3-1: 2010 National Healthcare Quality and Disparities Reports. February 2011. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/nhqrdr/nhqrdr10/6_maternalchildhealth/T6_2_3-1.html