Healthgrades has recognized 438 hospitals across 40 states in its 2026 Patient Safety Excellence Awards, identifying those in the top 10% nationwide for preventing serious, avoidable complications. Texas led with 62 award recipients, followed by Florida, California, Ohio, and Pennsylvania, with the number of recognized hospitals potentially linked to state size. Patients at these top-performing facilities experienced significantly lower risks for common safety events, including a 52.4% reduction in fractures from falls and a 71.9% decrease in pressure sores. The awards are based on 13 patient safety indicators derived from Medicare inpatient data, requiring hospitals to report zero serious errors like leaving foreign objects during procedures.