Association Between Hospital-Reported Leapfrog Safe Practices Scores and Inpatient Mortality

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Abstract
The Leapfrog Group is a well-known nonprofit business coalition that provides information regarding hospital safety and quality to its members (large companies that purchase health care) and to consumers.1-3 Its primary method of evaluating hospitals is via voluntary participation in the Leapfrog Hospital Survey. Initially, these annual surveys assessed hospitals' adoption of 3 initiatives that the organization believed would improve patient safety: computerized physician order entry, staffing of intensive care units by trained intensivist physicians, and evidence-based referrals for high-mortality surgeries. In 2004 a fourth initiative, the Safe Practices Survey, was added to the hospital survey to allow hospitals to report efforts toward implementing the National Quality Forum's Safe Practices for Better Healthcare.4