Using data from the American Nursing Credentialing Center Magnet Recognition Program, the CMS Hospital-Acquired Conditions Reduction Program (HACRP), and survey data from the American Hospital Association, this study analyzed the association between hospitals’ nursing excellence accreditation and patient safety. The authors found that Magnet hospitals are more likely to have lower patient safety indicator (PSI) 90 scores but higher catheter-associated urinary tract infection and surgical site infection scores. The authors conclude that while the processes, procedures and educational aspects associated with Magnet recognition seem to improve nursing-sensitive patient safety outcomes, there are still opportunities for improvement.