Safe Practices

Hand Hygiene and Nursing Workforce are two key factors to providing safe care

Read our 2015 reports on these Safe Practices

Leapfrog asks hospitals to report on their implementation of five practices that, if adopted, can improve patient safety in health care settings.

In 2017, hospitals will be asked to report on five of the  National Quality Forum (NQF) safe practices. The five Safe Practices on the survey are: Culture of Safety Leadership Structures and Systems, Culture Measurement, Feedback, and Intervention, Risks and Hazards, Nursing Workforce, and Hand Hygiene. The 2016 Leapfrog Hospital Survey and earlier versions also contained three additional Safe Practices: Teamwork Training and Skill Building, Medication Reconciliation, and Healthcare-associated Complications in Ventilated Patients. These three practices are being removed at the recommendation of our expert panel who determined the practices no longer reflected the latest measurement, had topped out, or could be replaced by a different and better measure. 

Each safe practice includes four components: awareness, accountability, ability, and action. Each practice also includes a list of activities that every hospital should accomplish.

Patients should choose a hospital that has all of the safe practices fully implemented in order to achieve a higher likelihood of a safer hospital stay.

This section is one of The Leapfrog Group’s original quality and safety standards. It is publicly reported as Steps to Avoid Harm on Leapfrog's Hospital Ratings Results page.

Fact sheet on Safe Practices evidence, measure and standards

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