Survey Materials

Download iconDownload the 2019 Leapfrog ASC Survey PDF (Version 1.0, Updated April 1, 2019)

 

Download iconDownload the 2019 Leapfrog ASC Survey Word Doc (Version 1.0, Updated April 1, 2019)

 

The hard copy of the ASC Survey contains important information that you will need to accurately respond to the ASC Survey questions and can be used to collect the information you will need to complete the Online ASC Survey Tool. The questions in the hard copy of the ASC Survey match the Online ASC Survey Tool exactly, so responses can be recorded on the hard copy of the ASC Survey and then entered into the Online ASC Survey Tool. The hard copy of the ASC Survey includes:

  • Survey Questions and Endnotes
  • Reporting Periods
  • Measure Specifications
  • Frequently Asked Questions 

Any changes to the 2019 Leapfrog ASC Survey that are published after April 1 will be listed here.

 

Other Supporting Materials

The following documents provide critical information that you will need to complete the Leapfrog ASC Survey. Please review each document carefully before you begin.
 

Section Materials

Section 3

Volume and Safety of Procedures

 

WHO Safe Surgery Checklist

 

TJC Universal Protocol Safe Surgery Checklist

 

AORN Comprehensive Surgical Checklist

Section 4

Patient Safety Practices

Instructions and FAQs for Joining Leapfrog’s NHSN Group for ASCs

 

 

2.2a AHRQ Patient Safety Culture (SOPS) Tool 

 

 

4.4a AHRQ Toolkit to Improve Safety in Ambulatory Surgery Centers

 

PDF iconNational Quality Forum's List of Serious Reportable Events

 

CANDOR Toolkit

 

 

RCA2 Improving Root Cause Analyses and Actions to Prevent Harm

Section 5

Patient Experience

 

Visit Newsletter