Table 2. Distribution of Drug Pairs in Intercepted Errors.
Canceled Order | Completed Order | No. Errors | No. Alerts | Error Rate (%)a | Std. Err. (%) |
fluticasone | fluticasone-nasal | 100 | 4565 | 2.19 | 0.22 |
metoprolol | metoclopramide | 16 | 9936 | 0.16 | 0.04 |
nitroprusside | nitroglycerin | 6 | 19 | 31.6 | 10.7 |
hydralazine | diphenhydramine | 6 | 4346 | 0.14 | 0.06 |
propranolol | propofol | 5 | 2931 | 0.17 | 0.08 |
nimodipine | famotidine | 3 | 511 | 0.59 | 0.34 |
clonidine | famotidine | 3 | 2350 | 0.13 | 0.07 |
metformin | metronidazole | 3 | 6148 | 0.05 | 0.03 |
fluticasone-salmeterol | fluticasone-nasal | 2 | 3166 | 0.06 | 0.04 |
hydralazine | hydromorphone | 2 | 4346 | 0.05 | 0.03 |
hydralazine | hydroxyzine | 2 | 4346 | 0.05 | 0.03 |
methyclothiazide | methylergonovine | 1 | 1 | 100 | 0.00 |
minoxidil | minoxidil-topical | 1 | 48 | 2.08 | 2.06 |
tenofovir | atenolol | 1 | 101 | 0.99 | 0.99 |
metolazone | metoclopramide | 1 | 132 | 0.76 | 0.75 |
ibandronate | ibuprofen | 1 | 133 | 0.75 | 0.75 |
methyldopa | methylprednisolone | 1 | 138 | 0.73 | 0.72 |
Actonelb | Actos | 1 | 150 | 0.67 | 0.66 |
felodipine | Feldene | 1 | 177 | 0.57 | 0.56 |
nimodipine | morphine | 1 | 511 | 0.20 | 0.20 |
paroxetine | pyridoxine | 1 | 1071 | 0.09 | 0.09 |
tiotropium | tenofovir | 1 | 1581 | 0.06 | 0.06 |
nifedipine | prednisone | 1 | 2111 | 0.05 | 0.05 |
clonidine | ranitidine | 1 | 2350 | 0.04 | 0.04 |
lansoprazole | alprazolam | 1 | 2381 | 0.04 | 0.04 |
propranolol | lansoprazole | 1 | 2931 | 0.03 | 0.03 |
amlodipine | amitriptyline | 1 | 3183 | 0.03 | 0.03 |
amlodipine | famotidine | 1 | 3183 | 0.03 | 0.03 |
atorvastatin | multivitamin | 1 | 3204 | 0.03 | 0.03 |
hydralazine | chlorzoxazone | 1 | 4346 | 0.02 | 0.02 |
sertraline | tetracycline | 1 | 4529 | 0.02 | 0.02 |
levothyroxine | levofloxacin | 1 | 5642 | 0.02 | 0.02 |
hydrochlorothiazide | hydrocortisone | 1 | 6040 | 0.02 | 0.02 |
hydrochlorothiazide | hydroxyzine | 1 | 6040 | 0.02 | 0.02 |
metformin | metoprolol | 1 | 6148 | 0.02 | 0.02 |
metformin | multivitamin | 1 | 6148 | 0.02 | 0.02 |
metoprolol | ketorolac | 1 | 9936 | 0.01% | 0.01% |
metoprolol | metronidazole | 1 | 9936 | 0.01% | 0.01% |
simvastatin | simethicone | 1 | 13625 | 0.01% | 0.01% |
The interception rate is the number of errors (confirmed by clinician chart review) divided by the total number of alerts for that drug.
In this pair, at the time of the alert, the branded names were most common, >90%.