Who should take a CPOE Evaluation Tool?
Adult and general hospitals participating in the Leapfrog Hospital Survey.
In order to achieve Leapfrog's CPOE standard, adult and general hospitals must (1) ensure that licensed prescribers enter at least 85% of inpatient medication orders via a computer system that includes decision support software to reduce prescribing errors, and (2) demonstrate, via a test, that its inpatient CPOE system can alert prescribers to at least 60% of frequent serious medication errors known to cause harm to patients. More information is available in the scoring algorithms document.
What is the CPOE Evaluation Tool?
The CPOE Evaluation Tool was designed by medication safety experts and researchers at Brigham and Women's Hospital and the University of Utah to test the ability of inpatient CPOE systems to alert licensed prescribers to frequent serious medication errors known to cause harm to patients. In addition, the Tool was designed to help hospitals improve on their use of clinical decision support to reduce adverse drug events and improve medication safety. The Tool was first included in the Leapfrog Hospital Survey in 2008.
The CPOE Evaluation Tool includes both a Sample Test and an Adult Inpatient Test. All hospitals are encouraged to complete the Sample Test prior to the Adult Inpatient Test. Only a hospital's score on the Adult Inpatient Test is used to determine their overall performance on Leapfrog's CPOE Standard.
The timed Test provides users with a set of Test Patients, along with a corresponding set of Test Orders, that users enter into their hospital’s CPOE and related clinical systems. The prescriber conducting the Test records the advice or information they received, if any, from their hospital’s CPOE system onto the Orders and Observation Sheet, and then completes the Online Answer Form. Users receive immediate scoring and feedback summarizing the results of the Test. The Tool includes eight Order Checking Categories that are outlined in the CPOE Evaluation Tool Instructions.
How Do I Access the CPOE Evaluation Tool?
Hospitals can access the CPOE Evaluation Tool from the Survey Dashboard once they have completed the Profile via the Online Hospital Survey Tool. Hospitals must return to complete and submit the Survey (Sections 1-9) prior to the deadline.
How is the Test Conducted?
Once you complete the Profile in the Online Survey Tool, the “Take CPOE Tool” button will appear on the Survey Dashboard. Click the button and select a Sample or Adult Inpatient Test from the menu options, as described in the CPOE Evaluation Tool Instructions.
Time Limits and Steps
Steps 1 - 2 must be completed within 3 hours.
Step 1: Download and print the list of Test Patients, then proceed to Step 2.
Steps 3 - 6 must be completed within 3 hours.
Important Note 1:
Any remaining time from Steps 1 and 2 does not carry over to this portion of the test.
We recommend leaving at least 45 minutes to perform Step 5.
Step 3: Download and print the Orders and Observations Sheets, then proceed to Step 4.
Note: Do not record any advice or information on the Orders and Observation Sheet that was sent directly to a pharmacist.
Once advice or information for each of the Test Orders has been recorded on the Observations Sheet, go back to the Tool to confirm completion of Step 4 and proceed to Step 5.
Step 7 has no time limit.
Step 7: View and print your results.
The same time limit applies to both the Sample and Adult Inpatient Tests. For each test started, you have:
- 3 hours elapsed time to complete Steps 1-2, then
- 3 hours elapsed time to complete Steps 3-6
Elapsed time runs continuously, 24/7, and is not interrupted or suspended during “non-business hours.” If you exceed these time limits, the Tool will "time out" and consider the Test “incomplete.” The Test will be recorded in the Online Survey as “Incomplete Evaluation” and Leapfrog will not give credit to your hospital for taking that Test. It is not possible to go back to a previous step in the Test.
More detailed information, including how to plan for the Test, is available in the CPOE Evaluation Tool Instructions.
How is the CPOE Evaluation Tool scored?
Seven of the eight Order Checking Categories included in the CPOE Evaluation Tool represent an area where a serious adverse drug event (ADE) could occur if the CPOE system’s clinical decision support fails to alert the prescriber. The eighth Order Checking Category includes Test Orders that, if presented interruptedly, could contribute to alert fatigue. More information about the CPOE Evaluation Tool scoring is available in the scoring algorithms document.
How Will the Results Be Used?
Results from the CPOE Evaluation Tool will be combined with a hospital’s CPOE implementation status to determine its overall score on the CPOE standard. More information is available in the scoring algorithms document.