Adverse Drug Events

On average, every patient admitted to a hospital is subject to at least one medication error per day. Two of the most common adverse outcomes due to adverse drug events (ADE) are warfarin overdose and inappropriate monitoring resulting in hemorrhage and opioid overdose resulting in respiratory depression. WSHA is working with hospitals to reduce rates of these two ADEs in addition to ADEs related to hypoglycemic agents. 

Strategies and Tools

All High Risk Medications Safety Action Bundle

Anticoagulants Safety Action Bundle

Opioids Safety Action Bundle

Hypoglycemic Agents Safety Action Bundle

Report Writing Specifications: Adverse Drug Events Primary Measures

Measuring Success

The preferred option for data submission on all three measures is the primary measure due to the higher clinical specificity. We ask those of you who have been submitting data continue to do so using your current data collection process. To assist hospitals who are having challenges submitting this data, the WSHA ADE Advisory Group has added a second option for each of the three ADE measures. 

ADE Measures SlidePrimary ADE Measures*

Anticoagulant Usage Measure Definition Sheet - Updated 8.27.15

Opioid Usage Measure Definition Sheet - Updated 8.27.15

Hypoglycemic Agent Measure Definition Sheet Updated 8.27.15

ReportWritingSpecifications_ADE_PrimaryMeasures *Report Writing Specifications for Primary ADE Measures

Option 2 ADE Measures - for hospitals who are unable to collect and submit Primary Measures

Option 2 Anticoagulant Usage INR Measure Definition Sheet- Updated 8.27.15

Option 2 Patient Controlled Analgesia (PCA) Opioid Measure Definition Sheet Updated 8.27.15

Option 2 Hypoglycemic Agent Usage Measure Definition Sheet Updated 8.27.15






Amber Theel