A proposed weighting system for evaluating safety in hospitals would give partial recognition for progress toward meeting each of 27 consensus-based safety practices, assigning more significance to some than others. The Leapfrog Group distributed for comment a list of point values for each of the 27 practices endorsed by the National Quality Forum and published earlier this year. A perfect score on the safety survey would be 1,000. Within the assigned points for each practice, a hospital can earn partial credit for each dimension of progress: awareness, accountability, ability and action. Creating a healthcare culture of safety carries a possible 263 points, with proportional credit possible across the four dimensions. Lesser point practices include "optimizing medication work spaces," 7 possible points, and vaccinating workers against influenza, 11 possible points. A hospital's performance in all 27 practices would determine its score, which would be made public on the Leapfrog Group's Web site. The Washington-based business coalition announced plans last month to use a weighted scoring system to expand its patient-safety evaluation efforts, which now consist of standards for three practices: computerized ordering by physicians, use of intensive-care medicine specialists and evidence-based referrals for certain kinds of high-risk care. Read the proposed survey. -- by John Morrissey
Leapfrog offers new way of rating hospital safety
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