Report: Hospitals Increase CPOE Use, but Problems Still Exist | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

Report: Hospitals Increase CPOE Use, but Problems Still Exist

July 23, 2014
by Rajiv Leventhal
| Reprints

The number of U.S. hospitals that are adopting computerized physician order entry (CPOE) systems to reduce medication errors is increasing, according to a report from the Washington, D.C.-based Leapfrog Group.

According to the 2013 Leapfrog Hospital Survey, which was prepared by the San Francisco-based Castlight Health, 43 percent of hospitals in 2013 met Leapfrog's standards for use of CPOE. Specifically, the survey showed 113 hospitals met Leapfrog's standards in 2009, compared with 616 in 2013.

Leapfrog says that its standard is aimed at ensuring that patients are being prescribed medications through a computerized order entry system that alerts prescribers to drug-drug interactions, drug-allergy interactions, and other potential prescribing errors, and requires that:

At least 75 percent of medication orders across all inpatient units are ordered through a CPOE system.

The hospital has tested the system to ensure that physicians are alerted to common, serious medication errors.

But some problems with performance of the systems persist, such as failure to alert on potentially fatal medication errors, the survey found. In 2013, CPOE systems did not alert physicians to one-third of the test orders that would have led to an adverse patient event. What’s more, the CPOE systems did not catch one in six of the test orders that would have resulted in death had the order been administered to a real patient. This failure rate is far too high, and points to the critical need for hospitals to make additional improvements to their medication ordering processes, the report’s authors stated.

“The stakes couldn’t be higher. Hospital errors remain the third leading cause of death in the U.S., so we want patients and purchasers to put safety first,” Leah Binder, president and CEO of Leapfrog said in a news release statement



Appalachia Project to Study Relationship Between Increased Broadband Access, Improved Cancer Care

The Federal Communications Commission and the National Cancer Institute have joined forces to focus on how increasing broadband access and adoption in rural areas can improve the lives of rural cancer patients.

Survey: By 2019, 60% of Medicare Revenues will be Tied to Risk

Medical groups and health systems that are members of AMGA (the American Medical Group Association) expect that nearly 60 percent of their revenues from Medicare will be from risk-based products by 2019, according to the results from a recent survey.

83% of Physicians Have Experienced a Cyber Attack, Survey Finds

Eighty-three percent of physicians in a recent survey said that they have experienced some sort of cyber attack, such as phishing and viruses.

Community Data Sharing: Eight Recommendations From San Diego

A learning guide focuses on San Diego’s experience in building a community health information exchange and the realities of embarking on a broad community collaboration to achieve better data sharing.

HealthlinkNY’s Galanis to Step Down as CEO

Christina Galanis, who has served as president and CEO of HealthlinkNY for the past 13 years, will leave her position at the end of the year.

Email-Related Cyber Attacks a Top Concern for Providers

U.S. healthcare providers overwhelmingly rank email as the top source of a potential data breach, according to new research from email and data security company Mimecast and conducted by HIMSS Analytics.