The Surgery Center of Rhode Island
Warwick, Rhode Island 02886
Preventing Patient Harm
| Measure name | Leapfrog’s Standard | Progress Towards Meeting Leapfrog’s Standard |
|---|---|---|
| Effective Leadership to Prevent Errors |
Surgery centers should take meaningful steps to raise awareness about patient safety, hold leadership accountable for reducing unsafe practices, provide resources to implement a patient safety program, and develop systems and structures to support action to improve patient safety. |
 ACHIEVED THE STANDARD |
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This surgery center achieved the standard through national accreditation from: The Accreditation Association for Ambulatory Health Care (AAAHC) |
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| Staff Work Together to Prevent Errors |
Surgery centers should have assessed their culture of safety and held leadership accountable for implementing policies, procedures, and staff education to improve the culture of safety. |
 DECLINED TO RESPOND |
| Identification and Mitigation of Patient Safety Risks |
Surgery centers should use retrospective and prospective data sources, including patient reports, to identify and mitigate errors that harm patients including medication errors and infections. |
ACHIEVED THE STANDARD |
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This surgery center achieved the standard through national accreditation from: The Accreditation Association for Ambulatory Health Care (AAAHC) |
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| Handwashing |
Surgery centers should regularly monitor hand hygiene practices for everyone interacting with patients, and give feedback to ensure compliance. Surgery centers foster a culture of good hand hygiene, offer training and education, and have provided equipment, such as paper towels, soap dispensers, and hand sanitizer. |
DECLINED TO RESPOND |
| Percentage of Patients Who Experience a Burn Prior to Discharge from the ASC |
Patients who experience a burn prior to discharge from the ASC |
ACHIEVED THE STANDARD |
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This surgery center's percentage is: 0 |
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| Percentage of Patients Who Experience a Fall Within the ASC |
Patients who experience a fall within the ASC |
ACHIEVED THE STANDARD |
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This surgery center's percentage is: 0 |
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| Percentage of Patients Who Experience a Wrong Site, Side, Patient, Procedure, or Implant |
Patients who experience a wrong site, side, patient, procedure, or implant in an ASC |
ACHIEVED THE STANDARD |
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This surgery center's percentage is: 0 |
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Patient Rights and Ethics
| Measure name | Leapfrog’s Standard | Progress Towards Meeting Leapfrog’s Standard |
|---|---|---|
| Billing Ethics |
Surgery centers should publish prices, and provide patients with complete billing information and access to a representative that can quickly resolve billing issues. In addition, surgery centers should not sue patients over late or unpaid bills. |
DECLINED TO RESPOND |
| Health Care Equity |
Surgery centers should examine their own data to identify any differences in processes or outcomes for patients of different races and ethnicities, and patients who speak different languages. Surgery centers should also put action plans in place if differences are identified. |
DECLINED TO RESPOND |
| Informed Consent |
Surgery centers should ensure that all patients are fully aware of risks and alternatives prior to procedures. |
DECLINED TO RESPOND |
| Responding to Never Events |
Surgery centers should have a never events policy that includes all nine (9) actions that should occur following a “never event,” which includes apologizing to the patient and not charging for costs associated with the never event. |
DECLINED TO RESPOND |
Healthcare-Associated Infections
| Measure name | Leapfrog’s Standard | Progress Towards Meeting Leapfrog’s Standard |
|---|---|---|
| Tracking and Reporting Infections |
Surgery centers should track and report all applicable accidents such as burns, falls, errors, surgery center admissions and surgical site infections, to a national database. |
DECLINED TO RESPOND |
Medication Safety
| Measure name | Leapfrog’s Standard | Progress Towards Meeting Leapfrog’s Standard |
|---|---|---|
| Medication Documentation for Elective Outpatient Surgery Patients |
Surgery centers should document 90% or more of home medications, visit medications, and allergies/adverse reaction(s) in the patients’ clinical record. |
ACHIEVED THE STANDARD |
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This surgery center achieved the standard through national accreditation from: The Accreditation Association for Ambulatory Health Care (AAAHC) |
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Complex Adult Surgery
| Measure name | Leapfrog’s Standard | Progress Towards Meeting Leapfrog’s Standard |
|---|---|---|
| Bariatric Surgery for Weight Loss |
Surgery centers should perform at least 50 procedures annually, and as part of their process for privileging surgeons, ensure that each surgeon performs at least 20 procedures annually. |
DECLINED TO RESPOND |
| Total Knee Replacement Surgery |
Surgery centers should perform at least 50 procedures annually, and as part of their process for privileging surgeons, ensure that each surgeon performs at least 25 procedures annually. |
DECLINED TO RESPOND |
| Total Hip Replacement Surgery |
Surgery centers should perform at least 50 procedures annually, and as part of their process for privileging surgeons, ensure that each surgeon performs at least 25 procedures annually. |
DECLINED TO RESPOND |
Care for Elective Outpatient Surgery Patients
| Measure name | Leapfrog’s Standard | Progress Towards Meeting Leapfrog’s Standard | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Clinicians Certified in Adult Advanced Life Support Always Present |
Surgery centers should ensure that a specially certified clinician is present and immediately available while an adult patient is present until discharge. |
ACHIEVED THE STANDARD |
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This surgery center achieved the standard through national accreditation from: The Accreditation Association for Ambulatory Health Care (AAAHC) |
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| Use of a Safe Surgery Checklist - Elective Outpatient Surgery |
Surgery centers should go through all the elements of a complete safe surgery checklist on all patients every time a procedure is performed. |
ACHIEVED THE STANDARD |
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This surgery center achieved the standard through national accreditation from: The Accreditation Association for Ambulatory Health Care (AAAHC) |
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| Experience of Patients Undergoing Elective Outpatient Surgery |
Surgery centers should perform better than most on four (4) areas including: (a) facilities and staff (b) communication about the procedure, (c) patients’ overall rating of the facility, and (d) patients' willingness to recommend the facility. |
ACHIEVED THE STANDARD |
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Performance on the following four domains of the Outpatient and Ambulatory Surgery (OAS) CAHPS Survey make up a surgery center’s score on Leapfrog’s “Experience of Patients Undergoing Elective Outpatient Surgery” measure. “Top Box Score” represents the percentage of respondents who gave the most favorable response.
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| Percentage of Patients Who Are Transferred or Admitted to a Hospital Upon Discharge from the ASC |
Patients who are transferred or admitted to a hospital upon discharge from the ASC |
 CONSIDERABLE ACHIEVEMENT |
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This surgery center's percentage is: 0.064% |
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| Rate of Unplanned Hospital Visits within 7 days of an Outpatient Colonoscopy |
Unplanned hospital visits can occur when patients experience complications after a colonoscopy procedure. Facilities should have a rate of unplanned hospital visits that is lower than most hospitals and surgery centers. |
NOT AVAILABLE |
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| Rate of Unplanned Hospital Visits within 7 Days of an Orthopedic Surgery at an ASC |
Unplanned hospital visits can occur when patients experience complications after an orthopedic procedure. Facilities should have a rate of unplanned hospital visits that is lower than most surgery centers. |
UNABLE TO CALCULATE
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| Rate of Unplanned Hospital Visits Within 7 Days of a Urology Surgery at an ASC |
Unplanned hospital visits can occur when patients experience complications after a urology procedure. Facilities should have a rate of unplanned hospital visits that is lower than most surgery centers. |
NOT AVAILABLE |
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| Rate of Unplanned Hospital Visits Within 7 Days of a General Surgery at an ASC |
Rate of Unplanned Hospital Visits Within 7 Days of a General Surgery at an ASC |
CONSIDERABLE ACHIEVEMENT |
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This surgery center's rate is: 1 |
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| Percentage of Cataract Surgery Patients Who Had a Unplanned Additional Eye Surgery (Anterior Virectomy) |
Percentage of Cataract Surgery Patients Who Had a Unplanned Additional Eye Surgery (Anterior Virectomy) |
CONSIDERABLE ACHIEVEMENT |
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This surgery center's percentage is: 0.647% |
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Badges and recognitions:
- Top ASC (2025)
- Top ASC (2024)
- Top ASC (2023)
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