An annual survey from The Leapfrog Group, a coalition of large employers working to improve care quality and safety at lower costs, shows some impressive gains during the past year but also some worrisome backsliding.

For instance, of the 1,437 hospitals participating in the 2013 survey, which Castlight Health developed for Leapfrog, 43 percent were meeting Leapfrog’s standards for use of computerized physician order entry. But problems persist with failures of CPOE systems to trigger alerts on potentially fatal medication errors.

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