Evidence map›Paper›PMID 39822096›Full record

ArticleAmerican journal of hematology2025

Therapeutic Errors Associated With Antithrombotic Medications Reported to United States Poison Centers.

Emma N Cravo, Hannah L Hays, Jaahnavi Badeti, Henry A Spiller, Natalie I Rine, Motao Zhu, Gary A Smith

Abstract read
In one paragraph

Article in American journal of hematology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Emma N CravoCenter for Injury Research and Policy, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
Hannah L HaysCenter for Injury Research and Policy, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
Jaahnavi BadetiCenter for Injury Research and Policy, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
Henry A SpillerCentral Ohio Poison Center, Nationwide Children's Hospital, Columbus, Ohio, USA.
Natalie I RineCentral Ohio Poison Center, Nationwide Children's Hospital, Columbus, Ohio, USA.
Motao ZhuCenter for Injury Research and Policy, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
Gary A SmithCenter for Injury Research and Policy, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.ORCID 0000-0001-5838-8982

Funding

Child Injury Prevention Alliance
6 · The paper itself

Abstract

The objective of this study was to investigate the characteristics and trends of therapeutic errors in non-healthcare facility settings associated with antithrombotic medications reported to United States Poison Centers by analyzing data from the National Poison Data System from 2000 to 2021. There were 57 288 reported therapeutic error-related exposures involving antithrombotic medications as the primary substance. The rate of therapeutic errors increased by 590.9% during this 22-year period. Although most (90.1%) therapeutic errors were clinically inconsequential and did not receive treatment at a healthcare facility, 2.3% were medically admitted, and 2.1% experienced a serious medical outcome, including 16 fatalities. Three-fourths (74.9%) of therapeutic errors were among > 59-year-olds, and females represented 58.0% of exposures. Warfarin was the most commonly involved antithrombotic medication (37.5%), followed by direct oral anticoagulants (DOACs, 28.7%) and clopidogrel (23.3%). Therapeutic errors involving warfarin were more likely to be associated with a medical admission (odds ratio [OR] = 2.23; 95% confidence interval [CI]: 1.99-2.49) or a serious medical outcome (OR = 2.99; 95% CI: 2.65-3.37), and DOACs were less likely to be associated with a medical admission (OR = 0.53, 95% CI: 0.46-0.61) or a serious medical outcome (OR = 0.45; 95% CI: 0.38-0.53) than therapeutic errors involving other antithrombotic medications. The rate of therapeutic errors involving warfarin significantly increased by 187.0% during 2000-2011, followed by a 57.6% significant decrease during 2011-2021. The rate of therapeutic errors involving DOACs increased significantly by 1118.2% during 2011-2021. The scenario "inadvertently took/given medication twice" accounted for 56.3% of all therapeutic errors. Increased risk reduction efforts are needed to prevent antithrombotic-related therapeutic errors.

Indexed as

Fibrinolytic AgentsMedication ErrorsPoison Control CentersAdolescentAdultAgedAged, 80 and overAnticoagulantsChildChild, PreschoolFemaleHumansMaleMiddle AgedUnited StatesWarfarinAnticoagulantsFibrinolytic AgentsWarfarinadverse drug eventsanticoagulant medicationantiplatelet medicationmedication errorstoxicity

Identifiers

PMID39822096
PMCPMC11886480

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.