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Remove concentrated electrolytes (including, but not limited to,
potassium chloride, potassium phosphate, sodium chloride > 0.9%)
from patient care units
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Standardize and limit the number of drug concentrations available
in the organization
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Identify and, at a minimum, annually review a list of look-alike/sound-alike
drugs used in the organization, and take action to prevent errors
involving the interchange of these drugs
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