Slide Presentation from the AHRQ 2007 Annual Conference

Example: Coagulation-Related ADE

• Alert: warfarin and an INR > 4
• Investigation: Adult patient previously admitted for A. fib, discharged on warfarin. Patient returned to the ED 10 days later feeling unwell; while in the ED, vomited 200cc of bright red blood. INR was 12.3. Patient required FFP and vitamin K, and was transferred to the ICU.