Matthew M. Medlock, MD; Louis R. Cantilena, MD, PhD; Michael A. Riel, DO
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Medlock MM, Cantilena LR, Riel MA. Adverse Events following Discharge from the Hospital. Ann Intern Med. 2004;140:231-232. doi: 10.7326/0003-4819-140-3-200402030-00020
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Published: Ann Intern Med. 2004;140(3):231-232.
TO THE EDITOR:
We greatly appreciate the study by Forster and colleagues concerning posthospital adverse events (1). However, we are concerned about the categorization of certain cases as preventable, ameliorable, or neither by the study internists. For example, in adverse event case 2 (Appendix Table 2), the patient had a seizure after taking an antibiotic that was “known to potentially alter levels of antiepileptic drugs.” This adverse drug event was labeled as “neither” in the “Preventable or Ameliorable” column. We believe that this type of adverse drug event is most often preventable—as preventable as properly monitoring the international normalized ratio in patients taking warfarin or warning of a potential cough after initiating therapy with an angiotensin-converting enzyme inhibitor.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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