Rate-of-obstetric-trauma-with-instrument - Health Quality Ontario (HQO)

INDICATOR NAME

Name

Rate of obstetric trauma per 100 instrument-assisted vaginal deliveries

Alternate Name

Rate of obstetric trauma with instrument

INDICATOR DESCRIPTION

Description

This indicator measures the rate of obstetric trauma (lacerations that are third degree or greater in severity) for instrument-assisted vaginal deliveries in a reporting period.

HQO Reporting tool/product

Public reporting

Dimension

Effective, Safe

Type

Outcome

DEFINITION AND SOURCE INFORMATION

Unit of Measurement

Rate per 100 instrument-assisted vaginal deliveries

Calculation Methods

Observed cases divided by expected cases times Canadian average

Logistic regression for risk-adjustment.

Numerator (short description i.e. not inclusions/exclusions)

Cases within the denominator with at least one obstetric trauma

Denominator (short description i.e. not inclusions/exclusions)

Vaginal delivery discharges with instrument-assisted delivery

Adjustment (risk, age/sex standardization)- generalized

Risk adjusted

Data Source

Discharge Abstract Database (DAD)

Data provided to HQO by

Canadian Institute for Health Information (CIHI)

Reported Levels of comparability /stratifications (defined)

Region, Time