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Reducing and Preventing Adverse Drug Events To Decrease Hospital Costs

Table 2. Difference between voluntary and computerized identification of adverse drug events (ADEs) and type of ADE identified at LDS Hospital

Type of ADE: Total ADEs
Voluntary reporting, 1988-89: 9
Computer surveillance, 1989-90: 401
Computer surveillance, 1990-91: 598
Computer surveillance, 1991-92: 529

Type of ADE: Known drug allergies
Voluntary reporting, 1988-89:
Computer surveillance, 1989-90: 13
Computer surveillance, 1990-91: 0
Computer surveillance, 1991-92: 0

Type of ADE: Inappropriate administration
Voluntary reporting, 1988-89:
Computer surveillance, 1989-90: 20
Computer surveillance, 1990-91: 1
Computer surveillance, 1991-92: 2

Sources: (1) Evans RS, Pestotnik SL, Classen DC, et al. Prevention of adverse drug events through computerized surveillance. Proc Annu Symp Comput Appl Med Care 1992;437-41. (2) Evans RS, Pestotnik SL, Classen DC, et al. Preventing adverse drug events in hospitalized patients. Ann Pharmacother 1994;28:523-7.

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