Table 6 Questions in the algorithm-based approach for which a YES answer automatically resulted in a definitely preventable rating without the option of modifying it to probably preventable
From: Methods for evaluating adverse drug event preventability in emergency department patients
Schmock and Thornton algorithm questions (response) | Frequency, n (%) n = 508 |
|---|---|
Was there a history of allergy or previous reactions to the drug or drug class? (YES) Was the re-exposure appropriate? (NO) | 148 (29.1) |
Was a toxic serum drug concentration (or laboratory monitoring test) documented? (YES) | 144 (28.4) |
Was any drug involved inappropriate for the patient’s clinical condition? (YES) | 78 (15.4) |
Was the dose, route or frequency of administration inappropriate for the patient’s age, weight or disease state? (YES) | 66 (13.0) |
Was there a known treatment for the ADE? (e.g., to prevent predictable drug side effects?) (YES) Was a known treatment not prescribed or administered to the patient? (YES) Was the known treatment contraindicated? (NO) | 38 (7.5) |
Was there any failure in communication that contributed to the ADE? (YES) | 17 (3.4) |
Was there a failure to act on the results of monitoring or testing? (YES) | 11 (2.2) |
Were there any errors in the administration of the culprit drug(s)? (YES) | 5 (1.0) |
Was there an error in ADE diagnosis that contributed to the event persisting/getting worse? (YES) | 1 (0.2) |