Association Between Leapfrog Safe Practices Score and Hospital Mortality in Major Surgery

• DOI: 10.1097/mlr.0b013e318238f26b
• Publication Date: 2011-11-12T11:14:18Z
• Authors: Feng Qian; Stewart J. Lustik; Carol A. Diachun; Richard N. Wissler; Raymond A. Zollo; Laurent G. Glance
• Keywords: Staffing

The Leapfrog Group reports on hospitals' adoption of the National Quality Forum Patient Safety Practices. However, it is unknown whether hospital compliance with these safe practices associated improved outcomes in patients undergoing major surgery.We analyzed association between mortality and Safe Practices among coronary artery bypass graft surgery (n=18,565), abdominal aortic aneurysm repair (n=2777), hip replacement (n=25,067) hospitals participating 2007 Hospital Survey using logistic regression.After adjusting for patient factors, we found that total safety score (adjusted odds ratio: 1.000, 95% confidence interval: 0.999-1.001) was not mortality. Computerized physician order entry ICU staffing were also mortality.We did find evidence at which scored higher had lower rates. as a standalone quality measure may have limited power to distinguish high-quality low-quality hospitals.