Computerized physician order-entry systems adopted by hospitals unexpectedly are failing to catch serious drug interactions and medication errors, according to a recent assessment by the Leapfrog Group. The CPOE systems arent being implemented properly or customized to fit specific needs, according to the Leapfrog Groups assessment of systems at about 100 hospitals. For instance, between 10% and 20% of simulated allergy interactions were missed by hospitals using CPOE, and some hospitals failed to catch a fatal medication order in the simulation, the Leapfrog Group says. We were frankly disappointed, says Leah Binder, chief executive officer of Leapfrog. There were a number of problems. Because the findings were so worrisome, the healthcare quality-improvement group is issuing a cautionary statement about CPOE implementation. In addition, Leapfrog is forming a national CPOE executive consortium to tackle implementation issues. While only about 6% to 8% of hospitals nationwide have CPOE systems, Leapfrog estimates that, if deployed and used properly, they can reduce medication errors by between 50% and 100%.
CPOE not meeting group's safety expectations
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