Advisory Board November 17, 2025

The Leapfrog Group on Thursday released its fall 2025 Hospital Safety Grades, evaluating nearly 3,000 hospitals “on their ability to protect patients from medical errors, accidents, injuries and infections.”

Methodology

Leapfrog evaluates almost 3,000 general acute care hospitals across the United States twice yearly. A panel of patient safety experts selects appropriate measures and develops a scoring methodology.

The expert panel selected 22 evidence-based measures of patient safety, including CMS Medicare PSI 90 Patient Safety and Adverse Events composite. The weight of each measure was based on evidence, opportunity for improvement, and impact.

The Leapfrog Hospital Safety Grade placed each measure into one of two domains:

  1. Process/structural measures, which represent how often a hospital gives a patient a recommended...

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