How Safe is Your Hospital?

For Hospitals

Over 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 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 Fall 2018.

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

Facility-wide Inpatient MRSA Blood Laboratory-identified Events (Data sources: Leapfrog Hospital Survey, CMS)

C. diff Infection

Facility-wide Inpatient C. diff Laboratory-identified Events (Data sources: Leapfrog Hospital Survey, CMS)

Infection in the blood 

CLABSI in ICUs and Select Wards (Data sources: Leapfrog Hospital Survey, CMS)

Infection in the urinary tract 

CAUTI in ICUs and Select Wards (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, MHCC)

Surgical wound splits open

 PSI 14: Postoperative Wound Dehiscene (Data source: CMS, MHCC)

Death from treatable serious complications

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

Collapsed lung

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

Serious breathing problem

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

Dangerous blood clot

PSI 12: Perioperative PE/DVT (Data source: CMS, MHCC)

​Accidental cuts and tears in the abdomen or pelvis 

PSI 15: Abdominopelvic Accidental Puncture or Laceration (Data source: CMS, MHCC) 

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 )
Safe medication administration  Barcode Medication Administration (BCMA) (Data source: Leapfrog Hospital Survey, AHA HIT Supplement) 


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​:  Measure Details​: 

Dangerous bed sores

 PSI 3: Pressure Ulcer (Data source: CMS, MHCC) 

Patient falls

Falls and Trauma (Data source: CMS, MHCC)

Air or gas bubble in the blood

Air Embolism (Data source: CMS, MHCC)

Track and reduce risks to patients

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

 Doctors, Nurses & Hospital Staff

Public Reporting Measure Name​:  Measure Details​: 

Effective leadership to prevent errors

Safe Practice 1: Culture of Safety 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 Annual Survey)

Communication with Doctors

HCAHPS Composite 2: Communication with Doctors (Data source: CMS)

Communication with Nurses

HCAHPS Composite 1: Communication with Nurses (Data source: CMS

Responsiveness of Hospital Staff

HCAHPS Composite 3: Responsiveness of Hospital Staff (Data source: CMS


AHRQ Quality Improvement Toolkit