Hospital adoption of CPOE continues to grow, but challenges with systems remain
Check out our latest report on CPOE implementation and effectiveness
Hospitals can use Computerized Physician Order Entry (CPOE) systems to order medications for patients in the hospital instead of writing out prescriptions by hand. Good CPOE systems alert hospital staff if they try to order a medication that could cause harm, such as prescribing an adult dosage for a child.
Because approximately 90% of medication errors occur during manual ordering and transcribing (hand writing and interpreting the prescription), the use of CPOE systems can help eliminate these types of errors.
CPOE integrates the medication order with patient information, such as allergies, lab results and other prescription data. The order is then automatically checked for potential errors or problems such as drug and allergy interactions or drug-to-drug interactions. Effective use of CPOE systems can help reduce the risk of a wrong drug or dose being delivered to a patient, and avert problems caused by poor handwriting, similar drug names, drug interactions and specification errors.
This section of the Leapfrog Hospital Survey is one of The Leapfrog Group’s original quality and safety standards, and is designed to determine how a hospital uses CPOE to prevent medication errors. It is publicly reported as Doctors Order Medication through a Computer on Leapfrog's Hospital Ratings Results page.
In 2017, the CPOE Evaluation Tool is updated to incorporate feedback from hospitals regarding formulary issues, lab value issues, and outdated alerts. The new CPOE Evaluation Tool will include updated test patients, updated test orders, and a redesigned user interface, as well as other enhancements such as a display timer. The new CPOE Evaluation Tool also includes updated time limits.