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Leapfrog survey also finds shortcomings
At press time, The Leapfrog Group released its own survey showing some disappointing results in terms of hospital quality and safety. According to the 2008 Leapfrog Hospital Survey, only 7% of hospitals fully meet Leapfrog medication error prevention and CPOE standards, and low percentages of hospitals are fully meeting mortality standards.
Among surveyed hospitals, efficiency standards defined as highest quality and lowest resource use are met by only 24% of hospitals for heart bypass surgery, 21% for heart angioplasty, 14% for heart attack care, and 14% for pneumonia care.
Other highlights of the 2008 hospital survey include:
• Relatively low percentages of reporting hospitals are fully meeting volume- and risk-adjusted mortality standards or adhering to nationally endorsed process measures for eight high-risk procedures where following nationally endorsed and evidence-based guidelines is known to save lives:
• 65% of participating hospitals do not have all recommended policies in place to prevent common hospital-acquired infections.
• 75% do not fully meet the standards for 13 evidence-based safety practices, ranging from hand washing to competency of the nursing staff.
• Only 26% and 34% of reporting hospitals are fully meeting standards for treating two common acute conditions — heart attacks and pneumonia, respectively.
• Only 30% and 25% of hospitals are fully meeting standards to prevent hospital-acquired pressure ulcers or hospital-acquired injuries, respectively.
(Individual hospital results can be viewed and compared with other hospitals at www.leapfroggroup.org.)