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Administration of concentrated potassium chloride for injection during a code: still deadly!

ISMP Medication Safety Alert! Acute care edition. June 3, 2021; 26(11): 1-5.

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June 30, 2021

ISMP Medication Safety Alert! Acute care edition. June 3, 2021; 26(11): 1-5.

Concentrated potassium chloride is a high-alert medication for which dosing errors are particularly injurious. This article shares the root causes of IV-push missteps with this medication during a code. Recommendations for improvement shared center on team characteristics and communication.