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Table 3 Generated alerts and the sensitivity, specificity, PPV, NPV and excess alerts

From: Evaluation and validation of a clinical decision support system for dose optimisation in hospitalized patients with (morbid) obesity – a retrospective, observational study

Drug

Alerts

Sensitivity (n1/n2; % + 95% CI)

Specificity (n3/n4; % + 95% CI)

Positive predictive value (n1/n5; % + 95% CI)

Negative predictive value (n4/n6; % + 95% CI)

Excess alerts (n7/n8; % + 95% CI)

Dabigatran

9

9/16; 56.3 [33.2, 76.9]

2/2; 100.0 [34.2, 100.0]

9/9; 100.0 [70.1, 100.0]

2/9; 22.2 [6.3, 54.7]

2/9; 22.2 [6.3, 54.7]

Ciprofloxacin

65

65/65; 100.0 [95.4, 100.0]

118/118; 100.0 [96.9, 100.0]

65/65; 100.0 [95.4, 100.0]

118/118; 100.0 [96.6, 100.0]

16/65; 24.6 [15.8, 36.3]

Vancomycin

58

39/39; 100.0 [91.0, 100.0]

53/72; 73.6 [62.4, 82.4]

39/58; 67.2 [54.4, 77.9]

53/53; 100.0 [93.2, 100.0]

33/58; 56.9 [44.1, 68.8]

Dalteparin - collectively

1086

1086/1086; 100.0 [99.6, 100.0]

2408/2408; 100.0 [99.8, 100.0]

1086/1086; 100.0 [99.6, 100.0]

2408/2408; 100.0 [99.8, 100.0]

432/1086; 39.8 [36.9, 42.7]

Dalteparin - anti-Xa level

116

116/116; 100.0 [96.8, 100.0]

173/173; 100.0 [97.8, 100.0]

116/116; 100.0 [96.8, 100.0]

173/173; 100.0 [97.8, 100.0]

38/116; 32.8 [24.9, 41.7]

Dalteparin - therapeutic

154

154/154; 100.0 [97.6, 100.0]

173/173; 100.0 [97.8, 100.0]

154/154; 100.0 [97.6, 100.0]

173/173; 100.0 [97.8, 100.0]

62/154; 41.0 [40.3, 48.2]

Dalteparin - prophylactic

816

816/816; 100.0 [99.5, 100.0]

2235/2235; 100.0 [99.8, 100.0]

816/816; 100.0 [99.5, 100.0]

2235/2235; 100.0 [99.8, 100.0]

332/816; 40.5 [37.2, 43.9]

  1. Abbreviation: CI, confidence interval. Values: n1 = true positive alert; n2 = true positive alert + false positive alert; n3 = false positive alert; n4 = true negative alert; n5 = true positive alert + false positive alert; n6 = false negative alert + true negative alert; n7 = alerts deemed as unnecessary; n8 = total alerts generated