To the Editor: The study by Dr Kernisan and colleagues1 analyzed the association between hospital mortality and Leapfrog Hospital Survey results for hospital self-reported use of the National Quality Forum (NQF) Safe Practices for Better Healthcare. Although the authors concluded that survey scores were not significantly associated with risk-adjusted inpatient mortality, these results should be interpreted cautiously.
Angood PB, Burstin H. Hospital Mortality and Leapfrog Hospital Survey Results. JAMA. 2009;302(6):625-626. doi:10.1001/jama.2009.1101