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Municipality Bowmanville Category Child birth - Adverse events Select a different category   LEGEND: BLUE Better than the Ontario average for the selected year. WHITE Not different from the Ontario average for the selected year. RED Worse than the Ontario average for the selected year. - No data were available for this year. DEFINITIONS: Rank All institutions were ranked on each indicator based on their scores, where the highest rank of 1 corresponds to the highest score out of 100. Volume indicators were not ranked since they have threshold requirements. Score The score indicates how well a hospital performs on a given indicator, based on its risk adjusted rate where a score of 100 is the highest. Risk adjusted rate Measures the observed rate adjusted for differences in patients’ age, sex, and the presence of complications. Observed rate Measures the outcome of interest compared to population at risk. Ontario average/total This value is the risk adjusted average (Ontario average) or total (Ontario total) of an indicator across all acute care hospitals in Ontario. Birth trauma Birth trauma for infants born alive in a hospital. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank View View View View View - - - View View Score View View View View View - - - View View Observed (per thousand) 3.5 1.2 1.2 7.9 11.3 - - - 1.3 2.6 Risk adjusted (per thousand) 3.5 1.2 1.2 7.9 11.3 - - - 1.0 2.0 Ontario average (per thousand) 9.2 8.7 8.9 8.9 8 - - - 2.3 2 Compare this indicator against other municipalities in Ontario Obstetric trauma - vaginal with instrument Cases of potentially preventable trauma (4th degree lacerations, other obstetric lacerations) during vaginal delivery with an instrument. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - - - - View View View View View Score - - - - - View View View View View Observed (per thousand) - - - - - 61.2 78.4 150.0 66.7 73.2 Risk adjusted (per thousand) - - - - - 53.7 74.3 141.4 64.3 71.9 Ontario average (per thousand) - - - - - 106.1 104.1 105.7 115.6 112.1 Compare this indicator against other municipalities in Ontario Obstetric trauma - vaginal without instrument Cases of potentially preventable trauma (4th degree lacerations, other obstetric lacerations) during vaginal delivery without an instrument. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - - - - View View View View View Score - - - - - View View View View View Observed (per thousand) - - - - - 38.3 19.4 20.8 20.9 29.9 Risk adjusted (per thousand) - - - - - 42.0 22.4 24.1 20.3 29.5 Ontario average (per thousand) - - - - - 37.4 35.9 33.8 27.3 27.2 Compare this indicator against other municipalities in Ontario Obstetric trauma - cesarean section Cases of potentially preventable trauma (4th degree lacerations, other obstetric lacerations) during Cesarean delivery. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - - - - View View View View View Score - - - - - View View View View View Observed (per thousand) - - - - - 4.8 0.0 0.0 11.8 0.0 Risk adjusted (per thousand) - - - - - 4.3 0.0 0.0 - - Ontario average (per thousand) - - - - - - - - - - Compare this indicator against other municipalities in Ontario Obstetric trauma with 3rd degree-vaginal with instrument Cases of potentially preventable trauma (3rd and 4th degree lacerations, other obstetric lacerations) during vaginal delivery with an instrument. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - - - - View View View - - Score - - - - - View View View - - Observed (per thousand) - - - - - 61.2 137.3 150.0 - - Risk adjusted (per thousand) - - - - - 52.3 131.3 140.0 - - Ontario average (per thousand) - - - - - 119.8 119.3 121.9 - - Compare this indicator against other municipalities in Ontario Obstetric trauma with 3rd degree-vaginal with out instrument Cases of potentially preventable trauma (3rd and 4th degree lacerations, other obstetric lacerations) during vaginal delivery without an instrument. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - - - - View View View - - Score - - - - - View View View - - Observed (per thousand) - - - - - 41.3 22.2 29.7 - - Risk adjusted (per thousand) - - - - - 44.8 25.0 32.8 - - Ontario average (per thousand) - - - - - 40.9 39.5 37.4 - - Compare this indicator against other municipalities in Ontario Obstetric trauma with 3rd degree-cesarean section Cases of potentially preventable trauma (3rd and 4th degree lacerations, other obstetric lacerations) during Cesarean delivery. Lower rates are more desirable. MEASURE Year* 97-98 98-99 99-00 00-01 01-02   02-03 03-04 04-05   05-06 06-07 Rank - - - - - View View View - - Score - - - - - View View View - - Observed (per thousand) - - - - - 4.8 0.0 0.0 - - Risk adjusted (per thousand) - - - - - 4.3 0.0 0.0 - - Ontario average (per thousand) - - - - - 6.1 6.7 6 - - Compare this indicator against other municipalities in Ontario * Note: It is not possible to compare data from 1997-2001 with data from 2002-2005 because of the change in coding classification.

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