The 458 top hospitals for safety—and the 439 best for patient experience, according to Healthgrades

Healthgrades last week released its annual lists of top hospitals for patient safety and patient experience.

Just updated: Get 1-page cheat sheets on how Healthgrades calculates their ratings

Methodology

To determine the top hospitals for patient experience, Healthgrades analyzed 3,478 hospitals' Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey scores for admissions between April 2016 and March 2017. Healthgrades then assessed hospital performance on 10 patient experience measures, using data culled from a 32-question patient experience survey of each hospital's patients. Overall, Healthgrades awarded 439 hospitals, representing the top 15% of hospitals nationwide, its 2018 Outstanding Patient Experience Award.

To determine the top hospitals for patient safety, Healthgrades evaluated hospitals between 2014 and 2016 on 13 indicators defined by the Agency for Healthcare Research and Quality (AHRQ). Overall, the organization awarded 458 hospitals its 2018 Patient Safety Excellence Award—representing the top 10% of hospitals evaluated.

According to a release, 126,342 patient safety events could have been avoided on average "if all hospitals performed similarly to award recipients on each of 13 patient safety indicators evaluated by Healthgrades."

Safety and outcomes

The company also released an infographic detailing which clinical incidents account for the bulk of patient safety events. According to Healthgrades, 74% of such events are related to:

  • Accidental cut, puncture, perforation, or hemorrhage, particularly during colorectal, bowel obstruction, and small intestine surgeries (25.7%);
  • Collapsed lung during a procedure or surgery in or near the chest (24.4%);
  • Hospital-acquired, catheter-related bloodstream infections (15.8%); and
  • Hospital-acquired pressure sores or bedsores (7.8%).

When compared with hospitals that were not awarded the Patient Safety Excellence Award, patients treated at hospitals that did receive the award were, on average:

  • 55.6% less likely to experience an accidental cut, puncture, perforation, or hemorrhage during medical care;
  • 52.4% less likely to experience a collapsed lung during a procedure or surgery in or near the chest;
  • 62.8% less likely to experience hospital-acquired, catheter-related bloodstream infections; and
  • 54.3% less likely to experience hospital-acquired pressures sores or bedsores.

Moreover, Healthgrades found that hospitals deemed top performers in patient safety had better clinical outcomes in areas such as bariatric surgery, joint replacement, spinal surgery, orthopedics, and vascular surgery than hospitals that did not make the list. Those top performers were also more likely than non-recipients to have a five-star rating for in-hospital mortality rates and complication outcomes.

Brad Bowman, Healthgrades' CMO, said, "This information details important insights about hospitals and their commitment to cultivating an outstanding experience for their patients, as well as their commitment to reducing patient safety events." He added, "Furthermore, consumers value this information and leverage it in order to make decisions about their care" (Healthgrades release, 5/8; Healthgrades Patient Safety Excellence Award 2018 Methodology, 5/8, Healthgrades Outstanding Patient Experience Award 2018 Methodology, Healthgrades infographic, 5/8).

Just updated: Get 1-page cheat sheets on how hospital quality ratings programs work

Download our one page sheets for summaries on the methodology and metric categories used in five hospital quality rating programs:

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