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How Safe is Your Hospital?

For Hospitals

NEW: Before using the newly redesigned Hospital Safety Score website, please check out our special Hospital Guide to the New Website.

More than 2,500 general hospitals will receive a Hospital Safety Score. 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 the Licensure & Permissions page.

How can I improve my Hospital Safety Score? While Leapfrog remains committed to collecting and publicly reporting data on hospital safety and quality, it does not engage in direct consulting with hospitals related to performance improvement. To assist organizations in accelerating improvement and prompted by requests from hospitals themselves, Leapfrog is pleased to announce a collaboration with The Advisory Board Company, a leading health care research, technology and consulting company. Given the improtance of CPOE in hospital quality and safety performance, the Advisory Board's ID Strategy Council research group has compiled its CPOE best-practice research into a single resource. The best-practice compendium can be accessed by any hospital or health system at www.advisory.com/ITSC/CPOE.

Methodology

Download the Leapfrog Scoring Methodology for October 2014

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

HOSPITAL SAFETY SCORE MEASURES

 Safety Problems with Surgery

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

 Staff Follows Steps to Make Surgery Safer

  1. Use antibiotics right before surgery
  2. Use correct antibiotics before surgery
  3. Stop antibiotics soon after surgery
  4. Remove catheter soon after surgery
  5. Take steps to prevent blood clots
  1. SCIP INF 1: Antibiotic within 1 Hour
  2. SCIP INF 2: Antibiotic Selection
  3. SCIP INF 3: Antibiotic Discontinued After 24 Hours
  4. SCIP INF 9: Catheter Removal
  5. SCIP VTE 2: VTE Prophylaxis

 Infections and Safety Problems

  1. Infection in the blood during ICU stay
  2. Infection in the urinary tract during ICU stay
  3. Surgical site infection after colon surgery
  4. Dangerous object left in patient’s body
  5. Air or gas bubble in the blood
  6. Dangerous bed sores
  7. Patient falls
  1. CLABSI
  2. CAUTI
  3. SSI: Colon
  4. Foreign Object Retained
  5. Air Embolism
  6. Pressure Ulcer--Stages 3 and 4
  7. Falls and Trauma

 Right Staffing to Prevent Safety Problems

  1. Specially trained doctors care for ICU patients
  2. Effective leadership to prevent errors
  3. Staff work together to prevent errors
  4. Training to improve safety
  5. Enough qualified nurses
  1. ICU Physician Staffing (IPS)
  2. Safe Practice 1: Leadership Structures and Systems
  3. Safe Practice 2: Culture Measurement, Feedback & Intervention
  4. Safe Practice 3: Teamwork Training and Skill Building
  5. Safe Practice 9: Nursing Workforce

 Hospital Uses Standard Safety Procedures

  1. Doctors order medications through a computer
  2. Correct medication information is communicated
  3. Track and reduce risks to patients
  4. Handwashing
  5. Take steps to prevent ventilator problems
  1. Computerized Physician Order Entry (CPOE)
  2. Safe Practice 17: Medication Reconciliation 
  3. Safe Practice 4: Identification and Mitigation of Risks and Hazards
  4. Safe Practice 19: Hand Hygiene
  5. Safe Practice 23: Care of the Ventilated Patient