Despite all the attention given to improving quality and safety in the healthcare system, only 21% of 1,019 hospitals fully meet 27 standards of quality, according to a survey released by the Leapfrog Group, a compendium of employers and other purchasers of healthcare with a focus on improving care.
The Leapfrog Hospital Quality and Safety Survey looked at the progress of hospitals in implementing practices in four categories: computerized physician order entry; staffing intensive-care units with ICU specialists, or intensivists; the performance of facilities in five high-risk procedures and care for two high-risk neonatal conditions; and their performance in 27 safe-practice areas.
The 27 standards were developed by the National Quality Forum and include safe medication use and ensuring patients understand the risks of their procedures. The survey found that 39% of the 1,019 responding hospitals implemented at least one of the four patient-safety practices, but only 4% have fully implemented CPOE, and 13% have intensivists on their ICU staffs.
A summary of the findings can be found on the Leapfrog Web site.