INDIGOMED takes the provision of safe patient care seriously, collecting data on several key indicators. Analyzing and reporting patient safety involves providing INDIGOMED members with updates on patient safety in hospitals belonging to the INDIGOMED network, including reports on hospital-associated infections, surgical-site infection prevention, hand-hygiene compliance, Surgical Safety Checklist compliance, and hospital mortality rates.

Every hospital belonging to the INDIGOMED network is requested by their national regulation authority to report publicly on patient safety indicators related to hospital-acquired infections, actions undertaken to reduce such infections, and mortality. National accreditation agencies are mandated to analyze and verify safety indicators through regular (every two years on average) observations, and to publish the outcomes on their public websites.

Safety and security indicators are derived mainly from Quality Indicators developed by the US Agency for Health Care Research and Quality. AHRQ Patient Safety Indicators (PSIs) are a set of indicators providing information on potential hospital complications and adverse events following surgeries, procedures, and childbirth. These indicators were developed after a comprehensive literature review, analysis of ICD-9-10—CM codes, a clinician panel review, implementation of risk adjustment, and empirical analyses (AHRQ, 2006).

INDIGOMED analyzes safety reports published by national agencies every six months in order to approve the admission of a new health care provider to the INDIGOMED network. INDIGOMED follows and analyzes all new security assessments made by national and international agencies during the entire period that the hospital is in the INDIGOMED network, and the hospital may be expelled from the network if those safety indicators decrease.