Table 4.

Severity of Adverse Drug Events (ADEs) and Potential ADEs, by Period^*

	Baseline	Period 1	Period 2	Period 3
ADEs, not preventable:	20	24	17	16
Life-threatening	0 (0%)	2 (8%)	2 (12%)	0 (0%)
Serious	3 (15%)	4 (17%)	6 (35%)	6 (38%)
Significant	17 (85%)	18 (75%)	9 (53%)	10 (62%)
ADEs, preventable:	5	15	2	2
Life-threatening	1 (20%)	4 (27%)	1 (50%)	0 (0%)
Serious	4 (80%)	5 (33%)	0 (0%)	0 (0%)
Significant	0 (0%)	6 (40%)	1 (50%)	2 (100%)
Potential ADEs, not intercepted:	8	4	1	0
Life-threatening	1 (13%)	0 (0%)	0 (0%)	0 (0%)
Serious	5 (63%)	1 (25%)	1 (100%)	0 (0%)
Significant	2 (25%)	3 (75%)	0 (0%)	0 (0%)
Non-intercepted serious medication errors†:	13	19	3	2
Life-threatening	2 (15%)	4 (21%)	1 (33%)	0 (0%)
Serious	9 (69%)	6 (32%)	1 (33%)	0 (0%)
Significant	2 (15%)	9 (47%)	1 (33%)	2 (100%)
Potential ADEs, intercepted:	27	82	106	1
Life-threatening	3 (11%)	78 (95%)	99 (93%)	0 (0%)
Serious	12 (44%)	2 (2%)	4 (4%)	0 (0%)
Significant	12 (44%)	2 (2%)	3 (3%)	1 (100%)

^*Percentage totals may not add to 100, because of rounding.

^†Non-intercepted serious medication errors are the sum of preventable ADEs and non-intercepted potential ADEs.