WA Country Health Service In partnership with Royal Perth Hospital

The Commission engaged the Centre for Health Systems & Safety Research at the Australian Institute of Health Innovation, Macquarie University, to undertake a literature scan to inform the development of the third edition of Electronic Medication Management Systems: A Guide to Safe Implementation.

This alert provides more information in regard to concentrated intravenous potassium chloride. Inappropriate injection of undiluted intravenous potassium chloride has been implicated in fatalities in Australia and overseas.