Plot representing birth trauma rates for calendar year 2007 across various Ascension Health hospitals. The system wide average rate falls far below the depicted estimated national rate.

FIGURE 4-6Individual hospital birth trauma rates for calendar year 2007

NOTE: The graph represents data that are self-reported and self-validated in accordance with the definitions and guidelines adopted by the Ascension Health Perinatal Safety Affinity Group.a1

SOURCE: Reprinted with permission from Ascension Health. © 2008 Ascension Health. This work, including its content, may not be used, reproduced, duplicated, displayed, or distributed absent express written permission from Ascension Health.

a1

Birth trauma is unintentional harm to a newborn that occurs during birth and requires medical intervention. Ascension Health uses the Agency for Healthcare Research and Quality (AHRQ) birth trauma patient safety indicator definition and clinical case review. Estimated national rate: the Healthcare Cost and Utilization Project (HCUP) rate for 2004 was 2.6 birth traumas per 1,000 live births, (AHRQ, 2004). (The national data collection methodology may not be identical to Ascension Health methodology.) System rate is 0.6882 birth traumas per 1,000 live births (based on the AHRQ birth trauma patient safety indicator definition and clinical case review).

From: 4, Case Studies in Transformation Through Systems Engineering

Cover of Engineering a Learning Healthcare System
Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary.
Institute of Medicine (US) and National Academy of Engineering (US) Roundtable on Value & Science-Driven Health Care.
Washington (DC): National Academies Press (US); 2011.
Copyright © 2011, National Academy of Sciences.

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