Table 1.
Frequency Distribution of Alerts
| Rule | Alerting Criterion | No.* (%) |
|---|---|---|
| 1 | Hematocrit has fallen 10% or more since last result and is now less than 26%† | 38 (19.8) |
| 2 | Serum glucose is greater than or equal to 400 mg/dL | 34 (17.7) |
| 3 | Hematocrit has fallen 6% or more since previous result, and has fallen faster than 0.4% per hour since last result, and is now less than 26% and the patient is not on the cardiac surgery service† | 32 (16.7) |
| 4 | Serum potassium is greater than or equal to 6.0 mEq/L | 32 (16.7) |
| 5 | Serum potassium has fallen 1.0 mEq/L or more over the last 24 hours and is now less than 3.2 mEq/L‡ | 29 (15.1) |
| 6 | Serum potassium less than 3.3 mEq/L and patient has an active order for digoxin‡ | 15 (7.8) |
| 7 | Serum sodium is greater than 160 mEq/L | 5 (2.6) |
| 8 | Serum sodium has fallen 15 mEq/L or more in last 24 hours and is now less than 130 mEq/L§ | 4 (2.1) |
| 9 | Serum glucose is less than or equal to 40 mg/dL | 3 (1.6) |
| 10 | Hematocrit is less than or equal to 15%† | 0 (0) |
| 11 | Serum potassium is less than or equal to 2.4 mEq/L‡ | 0 (0) |
| 12 | Serum sodium is less than or equal to 115 mEq/L§ | 0 (0) |
| Total | 192 (100) |
Combined number of occurrences in control and intervention groups, after exclusions.
For low or falling hematocrit, rule 1 takes precedence over rule 3, which takes precedence over rule 10.
For low or falling potassium, rule 5 takes precedence over rule 6, which takes precedence over rule 11.
For low or falling sodium, rule 8 takes precedence over rule 12.