Hospitals Give Leapfrog Safety Scores a Failing Grade

Healthcare organizations are blasting the measures the Leapfrog Group picked and the methods it used to determine whether any hospital is more likely to harm patients than another.

10 comments on "Hospitals Give Leapfrog Safety Scores a Failing Grade"
cheryl clark (6/13/2012 at 9:40 AM)

Difference between an adverse event and an event that causes harm. It's my understanding that an adverse event is something that happens that would could have adverse consequences to a patient, but may not have. For example, let's say that a patient gets the wrong medication. That's an adverse event, it wasn't supposed to happen. It was a mistake in care. But it didn't cause the patient harm. (They got aspirin instead of a prescription medication, for example.) the mistake was quickly caught, the patient got the right meds. It's serious, though, because the mistake might not have been caught or the error may have involved a wrongly administered medication that has a higher risk of harmful side-effects. So there is a subtle difference between adverse events and harm. Clearly Jim Lott is correct, that 1/3 of the patients in hospitals are not worse off after their care than before it.
R Daniel King (6/12/2012 at 10:14 AM)

Dear James Lott: The definition of "adverse" contains "detrimental" which means "something that impairs, injures, or causes loss." I believe any patient subjected to an "adverse" event would say they were "harmed."
James Lott (6/11/2012 at 4:37 PM)

Dear R.D. King and Nurse Day: To say that 1 in 3 hospitalized patients experience an "adverse event" is not the same as "...1 in 3 patients suffers HARM from their hospital care." (emphasis added to Ms. Day's quote)
R Daniel King (6/11/2012 at 9:43 AM)

Dear Jim Lott: May I answer you question to Kathy Day, RN: "1 in 3 Hospitalized Patients Suffers an Adverse Event" published April 7, 2011 in HealthLeaders Media, author Cheryl Clark.
Robinson (6/9/2012 at 1:22 PM)

I agree. Similar to our education system where children perform poorly and educators fix the test to reflect better scores! The American way and fast food mentality.
ahnguyen (6/8/2012 at 5:39 PM)

Mass General Hospital received an A. Odd[INVALID]-they have multiple incidents of medical errors resulting in deaths. There is even evidence of the hospital staff/admin actively engaging in cover up. Is it because they support Leapfrog? This type of behavior deserves an "A". What is worse[INVALID]a mistake or actively hiding the mistake. Cleveland Clinic received a C. University of Maryland Medical Center and Johns Hopkins did not receive a grade[INVALID]-c/w a D or F. This grading process is definitely not accurate and flawed. I can honestly attest that I received the notice to review the measures for our institution only a few weeks before this event. The data possessed by this group were wrong and inaccurate and our institution went through the process and are still waiting for the leapfrog staff to respond to their inaccuracies. Never received a response. This is what happens when non clinical folks who have the resource/money to buy BILLING DATA and make their own interpretation and believing that they accurately reflect high quality and safe care.
Jim Lott (6/8/2012 at 5:01 PM)

Dear Kathy Day [INVALID] Please cite your source for "The truth is that up to 1 in 3 patients suffers harm from their hospital care." Thanks.
Betty Lewis (6/8/2012 at 3:33 PM)

The grades assigned by the Leapfrog Group are completely wrong. Calling them "courageous" I find interesting. In our area, one Hospital that received an "A" doesn't even have a critical care unit. They cater to a specific population that is a lower risk group and if trouble arises, they send the patient to the hospitals with a "C" grade. This underscores the concerns that many had before the process of on-line evaluation of Quality began. Results, based merely on stats without looking at populations and a variety of other factors can suggest a very biased and inappropriate score when someone is trying to [INVALID] the "best" facility to go to. I am not sure what effort went into the process but it wasn't sufficient to give a truthful assessment of the capabilities, advantages, or disadvantages of seeking care at any given facility from what I see. It is unfortunate that these "grades" were published and for some trusting public, may lead to a choice that could have been better made
Joe Ketcherside MD (6/8/2012 at 9:47 AM)

First the AHA wants 30 days to figure out how to give me electronic access to all of my health data when I am discharged. That's gonna do a lot to prevent readmissions within 30 days. Now they object to being graded on safety. If they don't like Leapfrog's criteria, what valid alternative have they offered? The AHA needs to decide who it wants to protect - patients or hospitals.
Kathy Day RN (6/7/2012 at 8:04 PM)

The truth hurts. The truth is that up to 1 in 3 patients suffers harm from their hospital care. The surveys were done fairly and squarely. Wouldn't it be refreshing to see that the Hospitals (that got poor grades) had full intention of fixing their problems rather than having the American Hospital Association try to "fix" the grade. Whining by the Hospital industry is becoming very old. It's time to do the job that is entrusted to them and that is to give high quality safe patient care.


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