Table 2.
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.