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IV potassium given epidurally: getting to the "route" of the problem.
ISMP Medication Safety Alert! Acute Care Edition. April 6, 2006;11:1-2.

This article outlines systems failures that can contribute to the inadvertent misadministration of IV medications and provides several recommendations to support safe practices.
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Oral Dosage Forms that Should Not Be Crushed.
Mitchell JF. Institute for Safe Medication Practices.
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