AHFS	American Hospital Formulary Service
CDSSs	clinical decision support systems
CKD	chronic kidney disease
DVT	deep vein thrombosis
ESBL	extended spectrum beta-lactamase producing bacteria
GCS	Glasgow Coma Scale
ICU	intensive care unit
INR	international normalized ratio
LMWH	low molecular weight heparin
MDR	multidrug-resistant bacteria
NSAIDs	non-steroidal anti-inflammatory drugs
pDDI/s	potential drug-drug interaction/s
WHO	World Health Organization