Patient Safety Indicators
Utah overall (as a state) had lower rates than expected on three patient safety indicators, compared to similar mothers and newborns in the U.S. Measures and rates are in parentheses. Specifically, Utah overall had lower than expected rates for
- 248 (0.2%) of 258,929 newborns experienced newborn injuries (PSI 17) in 2005 through 2007.
- 2976 (2.6%) of 37,959 mothers experienced severe tears during vaginal delivery without instruments (PSI 19) in 2007.
- 550 (14.0%) of 3,915 mothers experienced severe tears during vaginal delivery with instruments (PSI 18), in 2007.
25 of the 39 Utah hospitals at which 30 or more babies were born had a lower rate than expected for injuries to the newborn in 2005 through 2007 compared to similar babies nationwide. The remaining 14 hospitals had about the same rate of newborn injuries as expected. Of these 14 hospitals, five had no reported newborn injuries.
The definition of this indicator changed in late 2003. Prior to October 2003, “head molding” might have been included in the indicator. “Newborn head molding” is an abnormal head shape that occurs from pressure on the baby’s head during delivery. This is not a serious condition and the baby’s head often returns to its normal shape in a few days. The change in definition resulted in a decrease in reported injuries to newborns starting in 2004.
20 of the 38 Utah hospitals at which 30 or more mothers had a vaginal delivery without instruments had a lower rate of severe tears than expected in 2007 compared to similar mothers nationwide. The remaining 18 hospitals had about the same rate of these injuries as expected.
Nine of the 25 Utah hospitals at which 30 or more mothers had a vaginal delivery with instruments had a lower rate of severe tears than expected in 2007 compared to similar mothers nationwide. The 16 remaining hospitals had about the same rate as expected.
Note: Many factors can affect in-hospital injuries at a particular hospital. Read more in About the Data .
Utilization Indicators in 2007
- 4,413 (10.4%) of 42,373 deliveries in Utah hospitals were first-time Cesarean deliveries (IQI 33).
- 1,192 (16.7%) of 7,120 women with a previous Cesarean delivery had vaginal births (IQI 34).
Note: Many factors can affect in-hospital procedures at a particular hospital, such as the health of the mother and baby, or the availability of hospital specialists and facilities. Currently, the health care community does not have an agreed-upon benchmark for the optional rates for first-time Cesarean and VBAC deliveries.
Average hospital charges for the maternity and newborn cases in this report differed widely. For those at the minor/moderate severity of illness level, average hospital charges ranged from:
- $1,000 to $2,207 among 39 Utah hospitals that reported charges for newborns with a birth weight over 2499 grams (about 5.5 pounds) (APR-DRG 640).
- $4,792 to $8,089 among 39 Utah hospitals that reported charges for vaginal delivery (APR-DRG 560).
- $4,418 to $10,770 among 39 Utah hospitals that reported charges for vaginal delivery with dilation and curettage (D&C) and/or sterilization (APR-DRG 541).
- $ 5,697 to $13,963 among 39 Utah hospitals that reported charges for Cesarean delivery (APR-DRG 540).
As expected, average hospital charges for maternity and newborn cases where the severity of illness level was major/extreme were higher than cases where the severity of illness level was minor/moderate.
Note: Many factors will affect hospital charges. Read more in About the Data.