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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 the Licensure & Permissions page.


Download the Leapfrog Scoring Methodology for October 2015

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


 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. Patient falls
  7. Dangerous bed sores
  2. CAUTI
  3. SSI: Colon
  4. Foreign Object Retained
  5. Air Embolism
  6. Falls and Trauma
  7. PSI 3: Pressure Ulcer

 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