Australasian Clinical Indicator Report 2003 – 2010 Obstetrics ...
Australasian Clinical Indicator Report 2003 – 2010 Obstetrics ...
Australasian Clinical Indicator Report 2003 – 2010 Obstetrics ...
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<strong>Obstetrics</strong>, v6<br />
3.5 Selected primipara surgical repair of perineum for third degree tear<br />
(L)<br />
Rationale<br />
Vaginal birth is the most common cause of anal sphincter injuries in women and as such<br />
obstetric anal sphincter injury is considered a major complication of vaginal birth <strong>–</strong> a<br />
complication that can have a significant impact on a woman’s quality of life.<br />
Numerator Total number of selected primipara undergoing surgical repair of<br />
the perineum for third degree tear.<br />
Denominator Total number of selected primipara delivering vaginally.<br />
Dimensions of care: Accessibility Appropriateness Continuity<br />
Effectiveness Efficiency Quality Improvement and Risk Safety<br />
Desirable level: Low High Not specified<br />
Type of <strong>Indicator</strong>: Process Outcome Structure<br />
No. Total Total<br />
Year HCOs numerator denominator Rate #<br />
Centile Stratum Outlier<br />
(20) (80) gains gains gains<br />
2008 145 1,162 28,816 4.03 2.62 4.82 407 318 64<br />
2009 151 1,420 33,210 4.28 2.62 4.99 548 371 135<br />
<strong>2010</strong> 159 1,565 34,826 4.49 2.72 5.15 617 499 170<br />
#per 100 selected primipara<br />
Rate #<br />
Rate #<br />
In <strong>2010</strong> there were 292 data submissions from 159 HCOs. The annual rate was 4.5 per 100<br />
selected primipara.<br />
Variation between strata<br />
Rates by Public / Private<br />
No. Total<br />
Total Stratum<br />
Year Stratum HCOs numerator denominator rate #<br />
Standard Stratum<br />
error gains<br />
2009 Private 54 332 11,518 3.16 0.20<br />
Public 97 1,088 21,692 4.87 0.15 371<br />
<strong>2010</strong> Private 53 309 11,735 3.06 0.22<br />
Public 106 1,256 23,091 5.22 0.15 499<br />
# per 100 selected primipara<br />
<strong>Australasian</strong> <strong>Clinical</strong> <strong>Indicator</strong> <strong>Report</strong> <strong>2003</strong>-<strong>2010</strong> Page 24<br />
© ACHS. This work is copyright. Requests and inquiries concerning reproduction and rights should<br />
be addressed to pos@achs.org.au
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