Table 1.
Trigger Words in Phase 2 Associated with at Least 1 Real Adverse Drug Reaction Confirmed by Pharmacists
| Trigger Word* | Number of Trigger Words in Notes(n= 13,493) | ADR Identified Using Trigger Word in Phase 2(n=204) | Positive Predictive Value (%) |
|---|---|---|---|
| 2/2 | 859 | 25 | 2.9 |
| Accident | 6 | - | - |
| ACLS | 1 | - | - |
| Acute renal failure | 9 | - | - |
| Agitation | 62 | 2 | 3.2 |
| AKI | 192 | 3 | 1.6 |
| Allergic | 11 | - | - |
| Allergy | 6 | 1 | 16.7 |
| AMS | 109 | - | - |
| ARF | 11 | - | - |
| Arrest | 86 | - | - |
| Bleed | 153 | 2 | 1.3 |
| Blood | 3525 | 4 | 0.11 |
| Bradycardia | 40 | 1 | 2.5 |
| Bradicardic | 9 | 1 | 11.1 |
| C diff | 100 | 1 | 1.0 |
| Changes | 148 | 3 | 2.0 |
| Code | 73 | - | - |
| Coma | 3 | - | - |
| Complication | 5 | - | - |
| Concern | 312 | 15 | 4.8 |
| Condition C | 59 | - | - |
| Contrast Nephropathy | 2 | 2 | 100 |
| Control | 313 | 1 | 0.32 |
| d/c | 393 | 8 | 2.0 |
| D50 | 4 | - | - |
| Dc’d | 13 | - | - |
| Decrease | 102 | 3 | 2.9 |
| Deficiency | 18 | - | - |
| Delirium | 93 | 2 | 2.2 |
| Desaturation | 20 | - | - |
| Diarrhea | 101 | 1 | 1.0 |
| Discontinue | 41 | - | - |
| DKA | 33 | - | - |
| Drop | 83 | 5 | 6.0 |
| Drowsy | 22 | - | - |
| Drug fever | 1 | 1 | 100 |
| Drug-induced | 2 | 1 | 50 |
| Due to | 711 | 21 | 3.0 |
| DVT | 240 | 1 | 0.42 |
| Effect of | 3 | 1 | 33 |
| Elevated | 380 | 8 | 2.1 |
| Epistaxis | 15 | - | - |
| Error | 1 | - | - |
| ETOH abuse | 15 | - | - |
| FFP | 44 | 3 | 6.8 |
| Fluid resuscitation | 6 | - | - |
| Glucagon | 4 | - | - |
| Hallucinations | 11 | - | - |
| Held | 71 | 5 | 7.0 |
| Hematoma | 18 | - | - |
| Hemoptysis | 35 | 2 | 5.7 |
| High INR | 2 | 1 | 50 |
| HIT | 61 | 6 | 9.8 |
| Hives | 1 | - | - |
| Hold | 346 | 4 | 1.2 |
| Hyperglycemia | 15 | - | - |
| Hypernatremia | 16 | - | - |
| Hypoglycemia | 29 | 3 | 10.3 |
| Hypotension | 195 | 3 | 1.5 |
| Hypotensive | 150 | 5 | 3.3 |
| Hypoxemia | 47 | - | - |
| Hypoxia | 43 | - | - |
| Hypoxic | 29 | 1 | 3.4 |
| Iatrogenic | 5 | - | - |
| Incorrect | 3 | - | - |
| Ingestion | 25 | - | - |
| Injury | 74 | - | - |
| Interaction | 2 | - | - |
| Intubate | 7 | - | - |
| Intubation | 137 | 1 | 0.73 |
| Lethargic | 25 | 1 | 0.04 |
| Low | 570 | 7 | 1.2 |
| Marijuana | 8 | - | - |
| Melena | 41 | - | - |
| Mental status | 201 | 5 | 2.5 |
| Metabolic acidosis | 1 | - | - |
| NAC | 12 | - | - |
| Narcan | 23 | - | - |
| Non-compliance | 1 | - | - |
| Noncompliance | 1 | - | - |
| OD | 19 | - | - |
| Opiates | 25 | 3 | 12 |
| Overdose | 63 | - | - |
| Overload | 66 | 1 | 1.5 |
| Oversedation | 4 | - | - |
| Pancytopenia | 22 | 2 | 9.0 |
| Polysubstance | 19 | - | - |
| Positive | 545 | 1 | 0.18 |
| PRBC | 78 | - | - |
| Prolonged QTc | 2 | 1 | 50 |
| Pulmonary Fibrosis | 35 | - | - |
| Rash | 54 | 3 | 5.6 |
| Rebound | 31 | - | - |
| Related | 167 | 8 | 4.8 |
| Renal Disease | 6 | - | - |
| Renal Failure | 87 | 1 | 1.1 |
| Respiratory Distress | 76 | 1 | 1.3 |
| Respiratory Failure | 205 | - | - |
| Rhadomyolysis | 1 | - | - |
| Rise | 26 | - | - |
| Rising | 28 | 2 | 7.1 |
| SAH | 15 | - | - |
| Secondary to | 275 | 6 | 2.2 |
| Sedated | 97 | 2 | 2.1 |
| Sedating Medications | 1 | - | - |
| Seizure | 164 | - | - |
| Serotonin Syndrome | 1 | - | - |
| Shortness of breath | 45 | - | - |
| SOB | 162 | 1 | 0.62 |
| Somnolent | 114 | 1 | 0.88 |
| Stop | 26 | 3 | 11.5 |
| Subtherapeutic | 7 | - | - |
| Suicide attempt | 19 | - | - |
| Supratherapeutic | 20 | 3 | 15 |
| SVT | 8 | - | - |
| Switch | 48 | 2 | 4.2 |
| Tamponade | 17 | - | - |
| Temporal | 25 | 1 | 4 |
| Thrombocytopenia | 31 | 1 | 3.2 |
| Toxic | 25 | - | - |
| Transfusion | 49 | 1 | 2.0 |
| UGIB | 9 | - | - |
| Unresponsive | 79 | - | - |
| Vit K | 4 | - | - |
| Vitamin K | 16 | - | - |
| Withdrawal | 35 | - | - |
* Results do not indicate change in upper and lower case. For example, we identified both SOB and sob and both Hold and hold