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 October 2016.

For detailed information on the measures used to calculate the Leapfrog Hospital Safety Grade, 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


AHRQ Quality Improvement Toolkit