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. 2021 Jul 4;4(8):978–987. doi: 10.1002/jac5.1488
A. Potentially lethal
  • High potential for life‐threatening adverse reactions

  • Potentially lifesaving drug at a dosage too low for the disease being treated

  • High dosage (>10 times normal) of drug with low therapeutic index

B. ‐ Serious
  • Route of administration could lead to severe toxicity low dosage of drug for serious disease in patient with acute distress

  • High dosage (4‐10 times normal) of drug with low therapeutic index

  • Dosage resulted in serum drug concentration in potentially toxic range

  • Drug could exacerbate the patient's condition (related to warnings or contraindications)

  • Misspelling or mix‐up in medication order could lead to dispensing of wrong drug

  • Documented allergy to drug

  • High dosage (10 times normal) of drug without low therapeutic index

  • Omission of pretest for drug hypersensitivity

C. Significant
  • High dosage (1.5‐4 times normal) of drug with low therapeutic index

  • Drug dosage too low for patient's condition

  • High dosage (1.5‐10 times normal) of drug without low therapeutic index Errant dual‐drug therapy for single condition

  • Inappropriate dosage interval omission from medication order

D. Minor
  • Incomplete information in medication order

  • Unavailable or inappropriate dosage form

  • Nonformulary drug Noncompliance with standard formulations and hospital policies Illegible, ambiguous, or nonstandard abbreviation

E. No error
  • Information or clarification requested by physician or other health care professional from pharmacist

  • Cost savings only