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How Safe is Your Hospital?

For Hospitals

For more information on using the Hospital Safety Score website, please review our Hospital Guide

More than 2,500 general hospitals receive a Hospital Safety Score when it is updated twice per year. However, we are unable to assign a score to hospitals without adequate publicly available data, such as critical access hospitals, specialized hospitals, children’s hospitals, outpatient surgery centers, etc. Leapfrog and its Blue Ribbon Expert Panel are working to overcome issues of missing data in order to be able to assign a Hospital Safety Score to more hospitals in the future.

The Hospital Safety Score uses nationally available publicly reported data, which currently includes the Centers for Medicare and Medicaid Services (CMS) and the voluntary Leapfrog Hospital Survey. If you are a hospital with questions about the Hospital Safety Score, you can reach our Help Desk at https://leapfrogscore.zendesk.com.

If your hospital would like to issue a press release announcing your Hospital Safety Score, please contact us at info@leapfroggroup.org for a template release that you can customize to your hospital. For information on licensing your score in order to be able to use it in advertising, please visit http://www.hospitalsafetyscorelicensure.org/ 


Download the Leapfrog Scoring Methodology for April 2016

For detailed information on the measures used to calculate the Hospital Safety Score, please reference the following documents: 



  1. MRSA Infection
  2. C. diff Infection
  3. Infection in the blood during ICU stay
  4. Infection in the urinary tract during ICU stay
  5. Surgical site infection after colon surgery
  1. Methicillin-resistant Staphylococcus aureus (MRSA)
  2. Hospital-onset Clostridium difficile Infection (CDI)
  4. CAUTI
  5. SSI: Colon

Problems with Surgery

  1. Dangerous object left in patient’s body
  2. Surgical wound splits open
  3. Death from treatable serious complications
  4. Collapsed lung
  5. Serious breathing problem
  6. Dangerous blood clot
  7. Accidental cuts and tears
  1. Foreign Object Retained
  2. PSI 14: Postoperative Wound Dehiscence
  3. PSI 4: Death Among Surgical Inpatients
  4. PSI 6: Iatrogenic Pneumothorax
  5. PSI 11: Postoperative Respiratory Failure
  6. PSI 12: Postoperative PE/DVT
  7. PSI 15: Accidental Puncture or Laceration

Practices to Prevent Errors

  1. Doctors order medications through a computer
  2. Staff accurately record patient medications
  3. Handwashing
  4. Communication about Medicines
  5. Communication about Discharge
  6. Staff work together to prevent errors
  1. Computerized Physician Order Entry (CPOE)
  2. Safe Practice 17: Medication Reconciliation
  3. Safe Practice 19: Hand Hygiene
  4. HCAHPS Composite 6: Discharge Information
  5. HCAHPS Composite 5: Communication About Medicines
  6. Safe Practice 2: Culture Measurement, Feedback & Intervention

Safety Problems

  1. Dangerous bed sores
  2. Patient falls
  3. Air or gas bubble in the blood
  4. Track and reduce risks to patients
  5. Take steps to prevent ventilator problems
  1. PSI 3: Pressure Ulcer
  2. Falls and Trauma
  3. Air Embolism
  4. Safe Practice 4: Identification and Mitigation of Risks and Hazards
  5. Safe Practice 23: Care of the Ventilated Patient

 Doctors, Nurses & Hospital Staff

  1. Training to improve safety
  2. Effective leadership to prevent errors
  3. Enough qualified nurses
  4. Specially trained doctors care for ICU patients
  5. Communication with Doctors
  6. Communication with Nurses
  7. Responsiveness of Hospital Staff
  1. Safe Practice 3: Teamwork Training and Skill Building
  2. Safe Practice 1: Leadership Structures and Systems
  3. Safe Practice 9: Nursing Workforce
  4. ICU Physician Staffing (IPS)
  5. HCAHPS Composite 2: Doctor Communication Star Rating
  6. HCAHPS Composite 1: Nurse Communication Star Rating
  7. HCAHPS Composite 3: Staff Responsiveness