Safe Medication Ordering
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Setting-Specific Domain
Defining Attributes
Definition
The percentage of inpatient medication orders entered electronically.
Numerator
Total number of inpatient medication orders that licensed prescribers entered via a Computerised Physician Order Entry (CPOE) system.
Denominator
Total number of inpatient medication orders.
Exclusions
• Medications ordered for any newborn in a nursery or mother's room (exclude for denominator). • New medication orders that have been modified from the original order but maintain the intent of the original order (e.g., "new" medication orders generated when a dose, route, frequency, or brand are changed) (exclude for denominator). • Medications ordered verbally during a "code blue" (i.e., medications ordered verbally when a patient requires resuscitation or needs immediate medical attention, most often as the result of a respiratory arrest or cardiac arrest) (exclude for denominator). • Medications ordered in an operating room or procedural area (exclude for denominator) (exclude for denominator). • Medications ordered verbally without readback of alerts to a licensed prescriber or medications ordered via paper (exclude for numerator). • Medication orders entered into the CPOE system by a non-licensed prescriber, such as a nurse or pharmacist, that were NOT per protocol medication orders or standing medication orders (exclude for numerator). • Medication orders entered in to the CPOE system by a non-licensed prescriber, such as a nurse or pharmacist, that DID NOT require either verbal read back of alerts or a co-signature of a licensed prescriber prior to administration (exclude for numerator).
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
None
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Leapfrog Hospital Survey
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Publicly reported at: ratings.leapfroggroup.org/