CPOE Misses Errors
Computerized physician order entry (CPOE) is touted as a major
improvement in patient safety, primarily as a result of the
Institute of Medicine's 1999 report on medical errors.
As a direct result of this initiative a consortium of companies called the Leapfrog Group was formed. These companies preferentially direct their employees' healthcare to those institutions installing such systems as part of directives Leapfrog feels will improve patient care.
In recent study, Leapfrog found CPOE are failing to catch serious drug interactions and medication errors. For example, in one test, between 10 percent and 20 percent of simulated allergy interactions were missed by nurses, physicians and pharmacists. Some hospitals failed to catch a fatal medication order in the simulation.