How Safe is Your Hospital?

For Hospitals

More than 2,600 general hospitals are issued a Leapfrog Hospital Safety Grade twice per year. The Safety Grade uses national publicly available data from a variety of sources. However, because of inadequate data, we are unable to assign a grade to certain hospitals, such as critical access hospitals, specialty hospitals, children’s hospitals, outpatient surgery centers, etc. 

Hospitals with questions about the Leapfrog Hospital Safety Grade should contact the Safety Grade Help Desk.

If your hospital would like to issue a press release announcing your Leapfrog Hospital Safety Grade, please contact us for a template release that you can customize to your hospital. For information on licensing your Safety Grade for marketing purposes, please visit 


Download the Leapfrog Hospital Safety Grade Scoring Methodology for Spring 2017.

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



Public Reporting Measure Name​:  Measure Details:

MRSA Infection

Methicillin-resistant Staphylococcus aureus (MRSA) (Data sources: Leapfrog Hospital Survey, CMS)

C. diff Infection

Hospital-onset Clostridium difficile Infection (CDI) (Data sources: Leapfrog Hospital Survey, CMS)

Infection in the blood during ICU stay

CLABSI (Data sources: Leapfrog Hospital Survey, CMS)

Infection in the urinary tract during ICU stay

CAUTI (Data sources: Leapfrog Hospital Survey, CMS)

Surgical site infection after colon surgery

SSI: Colon (Data sources: Leapfrog Hospital Survey, CMS)

Problems with Surgery

Public Reporting Measure Name​:  Measure Details:

Dangerous object left in patient’s body

Foreign Object Retained (Data source: CMS)

Surgical wound splits open

PSI 14: Postoperative Wound Dehiscence (Data source: CMS)

Death from treatable serious complications

PSI 4: Death Among Surgical Inpatients (Data source: CMS)

Collapsed lung

PSI 6: Iatrogenic Pneumothorax​ (Data source: ​CMS)

Serious breathing problem

PSI 11: Postoperative Respiratory Failure (Data source: CMS)

Dangerous blood clot

PSI 12: Postoperative PE/DVT (Data source: CMS)

​Accidental cuts and tears

PSI 15: Accidental Puncture or Laceration (Data source: CMS

Practices to Prevent Errors

Public Reporting Measure Name​:  Measure Details:

Doctors order medications through a computer

 Computerized Physician Order Entry (CPOE) (Data source: Leapfrog Hospital Survey, AHA HIT Supplement )

Staff accurately record patient medications

Safe Practice 17: Medication Reconciliation (Data source: Leapfrog Hospital Survey


Safe Practice 19: Hand Hygiene (Data source: Leapfrog Hospital Survey)

Communication about Medicines

HCAHPS Composite 5: Communication About Medicines (Data source: CMS

Communication about Discharge

HCAHPS Composite 6: Discharge Information (Data source: CMS

Staff work together to prevent errors

Safe Practice 2: Culture Measurement, Feedback & Intervention (Data source: Leapfrog Hospital Survey)

Safety Problems

Public Reporting Measure Name​:  Public Reporting Measure Name​: 

Dangerous bed sores

 PSI 3: Pressure Ulcer (Data source: CMS

Patient falls

Falls and Trauma (Data source: CMS)

Air or gas bubble in the blood

Air Embolism (Data source: CMS)

Track and reduce risks to patients

Safe Practice 4: Identification and Mitigation of Risks and Hazards (Data source: Leapfrog Hospital Survey)

Take steps to prevent ventilator problems

Safe Practice 23: Care of the Ventilated Patient (Data source: Leapfrog Hospital Survey)

 Doctors, Nurses & Hospital Staff

Public Reporting Measure Name​:  Public Reporting Measure Name​: 

Training to improve safety

Safe Practice 3: Teamwork Training and Skill Building (Data source: Leapfrog Hospital Survey)

Effective leadership to prevent errors

Safe Practice 1: Leadership Structures and Systems (Data source: Leapfrog Hospital Survey)

Enough qualified nurses

Safe Practice 9: Nursing Workforce (Data source: Leapfrog Hospital Survey)

Specially trained doctors care for ICU patients

ICU Physician Staffing (IPS) (Data source: Leapfrog Hospital Survey, AHA HIT Supplement )

Communication with Doctors

HCAHPS Composite 2: Doctor Communication Star Rating (Data source: CMS)

Communication with Nurses

HCAHPS Composite 1: Nurse Communication Star Rating (Data source: CMS

Responsiveness of Hospital Staff

HCAHPS Composite 3: Staff Responsiveness (Data source: CMS


AHRQ Quality Improvement Toolkit