A Web-based simulation tool to test the ability of computerized physician order entry systems has found the systems on average miss half of routine medication orders and a third of potentially fatal errors, according to the Leapfrog Group, a coalition of employer purchasers working to improve patient safety.

Washington-based Leapfrog built the CPOE Evaluation Tool in partnership with the Institute for Safe Medication Practices and four CPOE experts: David Bates, M.D., of Partners HealthCare System; David Classen, M.D. of Computer Sciences Corp.; Marc Overhage, M.D., of Regenstrief Institute; and Thomas Payne, M.D., of the University of Washington. Grants from the California Healthcare Foundation and Agency for Healthcare Research and Quality funded the initiative.

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