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Document 1 of 1

Quality improvements in potassium replenishment in intensive critical care

units
Author: Zhu, Ling-ling; Zhou, Quan

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Abstract:

The hospital policy should identify areas in which concentrated electrolytes are clinically
necessary and find how they are clearly labelled and stored in those areas in a manner that
restricts access to prevent inadvertent administration (Joint Commission Resources, 2013). Since
October 2012, our hospital has removed storage of concentrated electrolytes injections outside of
pharmacy with the exception of potassium chloride in the cardiac surgical theatre and magnesium
sulphate in the obstetric ward. Regarding routine potassium replenishment, 74.83% (1392/1860)
of ICU patients received enteral potassium and consumed 88.32% of total potassium chloride
dose for this purpose (25,925g/29,354g), indicating an optimistic adherence rate among
physicians. Since we implemented the stewardship intervention program for safe medication and
potassium chloride injection, adverse events in the patient have not been identified in the
mandatory electronic medication administration error reporting system.

Subject: Potassium; Conflicts of interest; Surgery; Hospitals; Accreditation; Electrolytes;

Pharmacists; Drug stores; Thoracic surgery; Patients; Quality; Patient safety; Intensive care;
Chloride; Drug administration;

Location: China

Publication title: Intensive & Critical Care Nursing

Volume: 36

Pages: 24-25

Publication year: 2016

Publication date: Oct 01, 2016

Year: 2016

Section: Letter to the Editor

Publisher: Elsevier Limited

Place of publication: Newcastle

Country of publication: Netherlands

Publication subject: Medical Sciences--Nurses And Nursing

ISSN: 09643397

Source type: Scholarly Journals

Language of publication: English

Document type: Journal Article

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DOI: http://dx.doi.org/10.1016/j.iccn.2016.03.005

ProQuest document ID: 1811045900

Document URL: http://search.proquest.com/docview/1811045900?accountid=139410

Copyright: Copyright Elsevier Limited Oct 01, 2016

Last updated: 2016-08-19

Database: Research Library

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