Triggers and their yield
Trigger | Threshold value | No triggered | No reviewed(% triggered) | % with AE | % with error, no harm |
---|---|---|---|---|---|
INR, international normalized ratio; PTT, partial thromboplastin time. | |||||
High risk medications | |||||
Dalteparin | Exclude prophylactic doses(5000 units daily) | 13 | 5 (38) | 20 | 40 |
Enoxaparin | Exclude prophylactic doses(30 mg twice daily or 40 mg daily) | 319 | 30 (9) | 20 | 27 |
Warfarin | Exclude doses 5 mg and under | 211 | 17 (8) | 24 | 12 |
Antidote medications | |||||
Sodium polystyrene | 78 | 20 (26) | 25 | 20 | |
Phytonadione | Exclude 1 mg doses given in obstetrics | 247 | 27 (11) | 33 | 0 |
Flumazenil | 11 | 3 (27) | 33 | 0 | |
Naloxone | 123 | 22 (18) | 27 | 5 | |
Protamine | 5 | 2 (40) | 0 | 0 | |
Laboratory values | |||||
Glucose | <50 or >350 | 335 | 46 (14) | 57 | 28 |
Creatinine | Change of ⩾0.5 mg/dl | 3526 | 138 (4) | 24 | 2 |
INR | >5 | 155 | 26 (17) | 96 | 4 |
PTT | >100 s | 321 | 39 (12) | 59 | 21 |
Digoxin | >2 μg/ml | 41 | 9 (22) | 56 | 44 |
Amikacin | >10 μg/ml | 65 | 7 (11) | 14 | 29 |
Gentamicin | >2 μg/ml | 116 | 10 (9) | 10 | 30 |
Tobramycin | >2 μg/ml | 106 | 11 (10) | 9 | 9 |
Vancomycin | >15 μg/ml | 120 | 16 (13) | 6 | 31 |
Phenytoin | Free level >2 μg/ml | 84 | 9 (11) | 22 | 44 |
Blood/other | |||||
Positive blood cultures | 337 | 39 (12) | 95 | 5 | |
Fresh frozen plasma | 105 | 17 (16) | 6 | 6 | |
Total | 6318 | 493 (8) | 39 | 13 |