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
- 242 (0.15%) of 162,868 newborns experienced newborn injuries (PSI 17) in 2006 through 2008.
- 791 (2.1%) of 38,374 mothers experienced severe tears during vaginal delivery without instruments (PSI 19) in 2008.
- 509 (13.2%) of 3,847 mothers experienced severe tears during vaginal delivery with instruments (PSI 18), in 2008.
26 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 2006 through 2008 compared to similar babies nationwide. The remaining hospitals had about the same rate of newborn injuries as expected. Of these remaining hospitals, six 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.
24 of the 36 Utah hospitals at which 30 or more mothers had a vaginal delivery without instruments had a lower rate of severe tears than expected in 2008 compared to similar mothers nationwide. The remaining hospitals had about the same rate of these injuries as expected.
7 of the 24 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 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 2008
- 4,144 (9.8%) of 42,387 deliveries in Utah hospitals were first-time Cesarean deliveries (IQI 33).
- 1,220 (16.6%) of 7,352 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 hospitals with at least five newborns or mothers minor/moderate severity of illness level, average hospital charges ranged from:
- $992 to $2,535 among 38 Utah hospitals that reported charges for newborns with a birth weight over 2499 grams (about 5.5 pounds) (APR-DRG 640).
- $3,161 to $7,024 among 37 Utah hospitals that reported charges for vaginal delivery (APR-DRG 560).
- $4,560 to $10,928 among 37 Utah hospitals that reported charges for vaginal delivery with dilation and curettage (D&C) and/or sterilization (APR-DRG 541).
- $ 4,315 to $14,182 among 37 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.