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. Author manuscript; available in PMC: 2011 Oct 1.
Published in final edited form as: Qual Saf Health Care. 2010 Aug 19;19(5):1–5. doi: 10.1136/qshc.2009.033050

Table 3.

Complications of ADEs caused by medication discrepancies, stratified by VA / non-VA group.

Example:
ADE caused: VA Non-VA* Discrepancy (ADE)
No symptoms (%) 42 48 VA: Phenytoin dosage increase (supratherapeutic phenytoin level)
Non-VA: Clonidine omitted (hypertension)
Symptoms only (%) 54 50 VA: Fentanyl transdermal omitted (pain)
Non-VA: Carbamazepine dosage decrease (seizure and lethargy)
Prolonged or additional hospital stay (%) 4 2 VA: Nitroglycerin transdermal omitted (cardiac ischemia, hospital readmission)
Non-VA: Colchicine omitted (gout flare, prolonged hospital stay)
Permanent harm or death (%) 0 0 None
*

P ≥ .05 for all comparisons with VA group, by chi-square test.