Sources of ADE Information
Source |
Total ADEs |
Preventable % |
ER notes |
187 |
37% |
Hospital D/C's |
166 |
35% |
Computer signals |
439 |
34% |
Electronic notes |
565 |
20% |
Provider reports |
168 |
15% |
Incident reports |
5 |
60% |
Source: Field, TS et al. JAMA 2004;52:1349-154.
Notes:
Study led by Jerry Gurwitz, David Bates, and Terry Field, funded by National Institute on Aging and AHRQ
~28,000 patients age 65 and older over the course of 1 year.
Systematically looked at each of these sources.
Computer signals were things like:
Digoxin Level >2
ICD9- code for "Poisoning by Cardiovascular Drug"
Potassium <2.9 or INR >5
Rx for Vitamin K
Note that MDs don't record or report their mistakes...
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