List of triggers and process identified
Trigger | Process identified |
---|---|
PTT=prothrombin time; INR=international normalized ratio; WBC=white blood cells. | |
T1: Diphenhydramine | Hypersensitivity reaction or drug effect |
T2: Vitamin K | Over-anticoagulation with warfarin |
T3: Flumazenil | Oversedation with benzodiazepine |
T4: Droperidol | Nausea/emesis related to drug use |
T5: Naloxone | Oversedation with narcotic |
T6: Antidiarrheals | Adverse drug event |
T7: Sodium polystyrene | Hyperkalemia related to renal impairment or drug effect |
T8: PTT >100 seconds | Over-anticoagulation with heparin |
T9: INR >6 | Over-anticoagulation with warfarin |
T10: WBC <3000 × 106/μl | Neutropenia related to drug or disease |
T11: Serum glucose <50 mg/dl | Hypoglycemia related to insulin use |
T12: Rising serum creatinine | Renal insufficiency related to drug use |
T13: Clostridium difficile positive stool | Exposure to antibiotics |
T14: Digoxin level >2 ng/ml | Toxic digoxin level |
T15: Lidocaine level >5 ng/ml | Toxic lidocaine level |
T16: Gentamicin or tobramycin levels peak >10 μg/ml, trough >2 μg/ml | Toxic levels of antibiotics |
T17: Amikacin levels peak >30 μg/ml, trough >10 μg/ml | Toxic levels of antibiotics |
T18: Vancomycin level >26 μg/ml | Toxic levels of antibiotics |
T19: Theophylline level >20 μg/ml | Toxic levels of drug |
T20: Oversedation, lethargy, falls | Related to overuse of medication |
T21: Rash | Drug related/adverse drug event |
T22: Abrupt medication stop | Adverse drug event |
T23: Transfer to higher level of care | Adverse event |
T24: Customized to individual institution | Adverse event |