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J Am Med Inform Assoc 14:451-458 doi:10.1197/jamia.M2369
  • Original Investigation

A Systematic Review of the Performance Characteristics of Clinical Event Monitor Signals Used to Detect Adverse Drug Events in the Hospital Setting

Table 4

Signals Associated with Supratherapeutic Medication Levels

Signal Number of Studies PPV Range P-value Test for Heterogeneity Overall Estimate of PPV* (95% CI) Overall Estimate of PPV† (95% CI)
Quinidine 2 0.43–0.60 0.56 0.50 (0.39–0.61) 0.50 (0.22–0.78)
Phenobarbital 3 0–1.0 <0.01
Theophylline trough 5 0.25–1.0 0.01
Vancomycin peak or trough levels 3 0.18–0.33 0.31 0.26 (0.22–0.32) 0.26 (0.20–0.32)
Procainamide 3 0–0.42 <0.01
Lidocaine 3 0.17–0.50 0.51 0.19 (0.17–0.21) 0.18 (0.09–0.28)
Aminoglycoside antibiotic 3 0.04–1.0 <0.01
Digoxin 8 0.08–1.0 <0.01
Phenytoin 7 0.07–1.0 <0.01
Cyclosporine 2 0–0.04 0.29 0.03 (0.02–0.06) 0.03 (0.00–0.06)
  • PPV= positive predictive value.

  • * PPV calculated using GEE pooled estimate and CI.

  • PPV calculated using fixed effects pooled estimate and CI.

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