Racial disparities in health care quality and safety exist in even the highest rated hospitals, according to a recent report from the Leapfrog Group, a nonprofit organization that monitors hospital performance. Leapfrog analyzed 11 serious preventable patient safety events among White, Black, and Hispanic patients. It found that although the risk for all patients is lower at A-graded hospitals than C/D/F-graded hospitals, Black and Hispanic patients are at greater risk for harm than White patients even in A-graded hospitals. Most of the higher risks are surgery related, including postoperative sepsis (34% higher in both groups), respiratory failure (21% for Hispanic patients and 17% for Black patients), and pulmonary embolism (51% higher in Black patients). Black patients are also 28% more likely to experience a pressure ulcer, regardless of hospital rating. The authors note that "equitable care is not the same as equal care" and hospitals should recognize existing disparities in risk and "allocate resources accordingly."