Leapfrog report shows CPOEs can miss 30% of potentially fatal medication orders

Patient Safety Monitor Insider

July 7, 2010

The Leapfrog Group released the results of a study that shows through web-based simulation that computer physician order entry (CPOE) systems can miss as many as one in three potentially fatal medication orders when unchecked, reports HealthLeaders Media. The report urged the government to include specifications about CPOE monitoring in its meaningful use guidelines, which are expected to be released within the coming weeks. Meaningful use refers to a set of requirements regarding health information technology that hospitals and physicians must meet to receive incentive payments through Medicare and Medicaid.

The simulation tool was used to see how often CPOE caught common medication errors. Adult hospitals involved in the study received ten sample patients and 50 medication orders and pediatric facilities received 10 sample patients and 51 medication orders. Most of the hospitals that adjusted their protocols and CPOE systems after using the tool improved their performance.

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