The Big 3 of ADE Toolkit

Anticoagulants, diabetes drug and opioids are often responsible for adverse events that leads to emergency department visits and hospitalizations in older adults 1,2. Many of these events are preventable with adequate care coordination, medication reconciliation and patient engagement. Community healthcare providers are uniquely positioned to provide education, perform screening of patients and implement activities that can keep patients safe, especially in the critical period after a hospitalization or a change in a person’s health status.

Quality Insights has compiled this toolkit with resources to help you with preventing and managing adverse drug events with these drugs. It also includes a section with medication reconciliation tools. Please click on the toolkit image below to download an electronic copy, and access the links contained therein. Should you have any questions about the toolkit, please contact your local Quality Insights Medication Safety project coordinator.

Big 3 of ADE Toolkit Cover

In addition to the Big Three of ADE Toolkit, Quality Insights has created and adapted other tools and resources for providers to use in their quality improvement efforts. Click the resource below to open, download and print (some of these resources are included in the Big Three of ADE Toolkit):

More Big 3 Resources

Medicine Review:  Tips For You (for patients and providers)
My Medication Record


For Patients

5 Things to Know About Anticoagulants video
Taking Charge of My Warfarin
Taking Charge of My Anticoagulant
Anticoagulants:  Questions Patients Should Ask and Understand
Safe Medications While You Are Taking Coumadin(r)

For Providers

The Big Three of ADE:  Anticoagulants
Anticoagulant Table
Coumadin SBAR Form
Warfarin Quick Reference Guide

Diabetes Drugs

Your Blood Glucose Numbers (English and Spanish)
Hypoglycemia Symptoms
Diabetes Agents
Diabetes Agents: Questions Patients Should Ask and Understand 
Diabetes Agents: Questions Patients Should Ask and Understand (Spanish)


Just Say "No" to the Combo: Opioids and Benzodiazepines
Things to Know When Prescribed an Opioid
Things to Know About Prescribing Naloxone
Opioids:  A Serious National Crisis poster

1. CDC unpublished data: Updated numbers for: Budnitz, DS, et al. National surveillance of emergency department visits for outpatient adverse drug events. JAMA. 2006;296(15):1858-66.
2. Shehab N, Lovegrove MC, Geller AI, Rose KO, Weidle NJ, Budnitz DS. US Emergency Department Visits for Outpatient Adverse Drug Events, 2013-2014. JAMA. 2016;316(20):2115-2125.