Table 1

 Symptoms or actions suggesting an ADE, potential ADE, or medication error

Change in mental statusWhen causal drugs were administered in proximity suggesting drug was cause
Sudden drop in blood pressure
Sudden drop in oxygen saturation
New rash
New diarrhea
Actions Criteria
Changed or clarified physician’s orderAll
Time changes on the medication administration record
Outdated narcotic orders
Late doses
    Regular dosesDose delayed >6 hours from order to administration
    Stat dosesDose delayed >1 hour from order to administration
Ordering C difficile toxin or cultureAll
New allergy listed