ArticleJAMA2009
Association between hospital-reported Leapfrog Safe Practices Scores and inpatient mortality.
Article in JAMA, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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14 citing papers in PubMed, 40 citations in OpenAlex.
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- Building an Open Health Data Analytics Platform: a Case Study Examining Relationships and Trends in Seniority and Performance in Healthcare Providers.Journal of healthcare informatics research · 2018Article
- Dissecting Leapfrog: How Well Do Leapfrog Safe Practices Scores Correlate With Hospital Compare Ratings and Penalties, and How Much Do They Matter?Medical care · 2017Article
- Variation in rates of ICU readmissions and post-ICU in-hospital mortality and their association with ICU discharge practices.BMC health services research · 2017Article
- Disparities in selective referral for cancer surgeries: implications for the current healthcare delivery system.BMJ open · 2014Article
- Evaluation of a center of excellence program for spine surgery.Medical care · 2013Article
- Evaluation of centers of excellence program for knee and hip replacement.Medical care · 2013Article
- Variations in surgical outcomes associated with hospital compliance with safety practices.Surgery · 2012Article
- Relationship between Leapfrog Safe Practices Survey and outcomes in trauma.Archives of surgery (Chicago, Ill. : 1960) · 2011Article
- Decreased mortality resulting from a multicomponent intervention in a tertiary care medical intensive care unit.Critical care medicine · 2011Article
- Lessons learned from HPB surgery in Kathmandu, Nepal.World journal of surgery · 2010Article
- Intensive care unit safety culture and outcomes: a US multicenter study.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2010Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
contextThe Leapfrog Hospital Survey allows hospitals to self-report the steps they have taken toward implementing the Safe Practices for Better Healthcare endorsed by the National Quality Forum. The Leapfrog Group currently ranks hospital performance on the safe practices initiative by quartiles and presents this information to the public on its Web site. It is unknown how well a hospital's resulting Safe Practices Score (SPS) correlates with outcomes such as inpatient mortality.
objectiveTo determine the relationship between hospitals' SPSs and risk-adjusted inpatient mortality rates. DESIGN, SETTING, AND
participantsObservational analysis of discharge data for all urban US hospitals completing the 2006 safe practices initiative and identifiable in the Nationwide Inpatient Sample. Leapfrog provided an SPS for each hospital as well as 3 alternative scores based on shorter versions of the original survey. Hierarchical logistic regression was used to determine the relationship between quartiles of SPS and risk-adjusted inpatient mortality, after adjusting for hospital discharge volume and teaching status. Subgroup analyses were performed using data from patients older than 65 years and patients with 5% or greater expected mortality risk.
main outcome measuresInpatient risk-adjusted mortality by quartiles of survey score.
resultsOf 1075 hospitals completing the 2006 Safe Practices Survey, 155 (14%) were identifiable in the National Inpatient Sample (1,772,064 discharges). Raw observed mortality in the primary sample was 2.09%. Fully adjusted mortality rates by quartile of SPS, from lowest to highest, were 1.97% (95% confidence interval [CI], 1.78%-2.18%), 2.04% (95% CI, 1.84%-2.25%), 1.96% (95% CI, 1.77%-2.16%), and 2.00% (95% CI, 1.80%-2.22%) (P = .99 for linear trend). Results were similar in the subgroup analyses. None of the 3 alternative survey scores was associated with risk-adjusted inpatient mortality, although P values for linear trends were lower (.80, .20, and .11).
conclusionIn this sample of hospitals that completed the 2006 Safe Practices Survey, survey scores were not significantly associated with risk-adjusted inpatient mortality.
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