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. Author manuscript; available in PMC: 2009 Aug 18.
Published in final edited form as: Qual Saf Health Care. 2009 Feb;18(1):32–36. doi: 10.1136/qshc.2007.025957

Table 2.

Predictive value of prescribing discrepancies for ADE.

Prescribing discrepancies ADEs Positive predictive value Example:
Drug or drug class (N)* (N) (N/N) (95% CI) Discrepancy (ADE)
Opioid analgesics 54 15 .28 (.17–.42) Oxycodone omitted (pain)
Metronidazole 25 4 .16 (.05–.37) Metronidazole omitted (diarrhea)
Non-opioid analgesics 37 5 .14 (.05–.30) Acetaminophen omitted (pain)
Levothyroxine 17 2 .12 (.02–.38) Levothyroxine omitted (constipation)
Anti-prostate agents 12 1 .08 (.00–.35) Terazosin omitted (urinary retention)
Anti-arrhythmic agents 13 1 .08 (.00–.38) Digoxin dose changed (elevated level)
Nitrates 43 3 .07 (.02–.20) Nitrate route change (hypotension)
Warfarin 45 3 .07 (.02–.19) Warfarin dose changed (thrombosis)
Calcium blockers 45 3 .07 (.02–.19) Felodipine omitted (hypertension)
Benzodiazepines 30 2 .07 (.01–.24) Clonazepam omitted (agitation)
Angiotensin blockers 80 5 .06 (.02–.15) Lisinopril increased (creatinine increase)
Anti-epileptic agents 53 3 .06 (.02–.17) Carbamazepine omitted (seizure)
Insulin 65 3 .05 (.01–.14) Insulin omitted (hyperglycemia)
Anti-psychotic agents 55 2 .04 (.01–.14) Risperidone omitted (agitation)
Laxatives 80 3 .04 (.01–.11) Tegaserod omitted (constipation)
Diuretics 86 3 .03 (.01–.11) Furosemide dose increased (hypotension)
Beta-blockers 62 2 .03 (.01–.12) Metroprolol omitted (hypertension)
Bronchodilators 111 2 .02 (.00–.07) Albuterol omitted (dyspnea)
Proton-pump inhibitors 123 2 .02 (.01–.08) Pantoprazole omitted (epigastric pain)
Antibiotics** 176 1 .01 (.00–.04) Antibiotic switch (angioedema)
H2 blockers 74 0 0 (0–.06)
Oral hypoglycemics 64 0 0 (0–.07)
*

Indicates prescribing omission, dose change, route change, or switch to a new medication for the same indication. Drugs or drug classes are included that had at least 10 discrepancy occurrences.

**

Excluding metronidazole, which is shown separately.