Table 1

 Triggers and their yield

TriggerThreshold valueNo triggeredNo reviewed(% triggered)% with AE% with error, no harm
INR, international normalized ratio; PTT, partial thromboplastin time.
High risk medications
    DalteparinExclude prophylactic doses(5000 units daily)135 (38)2040
    EnoxaparinExclude prophylactic doses(30 mg twice daily or 40 mg daily)31930 (9)2027
    WarfarinExclude doses 5 mg and under21117 (8)2412
Antidote medications
    Sodium polystyrene7820 (26)2520
    PhytonadioneExclude 1 mg doses given in obstetrics24727 (11)330
    Flumazenil113 (27)330
    Naloxone12322 (18)275
    Protamine52 (40)00
Laboratory values
    Glucose<50 or >35033546 (14)5728
    CreatinineChange of ⩾0.5 mg/dl3526138 (4)242
    INR>515526 (17)964
    PTT>100 s32139 (12)5921
    Digoxin>2 μg/ml419 (22)5644
    Amikacin>10 μg/ml657 (11)1429
    Gentamicin>2 μg/ml11610 (9)1030
    Tobramycin>2 μg/ml10611 (10)99
    Vancomycin>15 μg/ml12016 (13)631
    PhenytoinFree level >2 μg/ml849 (11)2244
Blood/other
    Positive blood cultures33739 (12)955
    Fresh frozen plasma10517 (16)66
Total6318493 (8)3913