Bibliographie

Bonvin A

Bonvin A, Vantard N, Charpiat B, Pral N, Leboucher G, Philip-Girard F, Viale JP. [Accidental intravenous injection of potassium chloride: analysis of contributing factors and barriers to risk reduction]. Ann Fr Anesth Reanim. 2009 May;28(5):436-41. "

Charpiat B

Charpiat B, Leboucher G, Martin I, Richet C, Viale JP. [Impact of promotion campaigns for administering potassium orally after an accidental intravenous injection of a concentrated solution]. Presse Med. 2010 Jul-Aug;39(7-8):835-6.

Charpiat B

Charpiat B, Magdinier C, Leboucher G, Aubrun F. [Medication errors with concentrated potassium intravenous solutions: Data of the literature, context and prevention] Ann Pharm Fr. 2016 Jan;74(1):3-11

Webographie

ANSM : never events

https://ansm.sante.fr/dossiers-thematiques/prevenir-les-erreurs-avec-le-chlorure-de-potassium-injectable

Potassium solutions :risk to patient from errors occururing during intravenous administration

http://www.nrls.npsa.nhs.uk/resources/?entryid45=59882

Recos OMS solutions pour la sécurité du patient 2007 ; 1 (5) - voir page 21

http://www.who.int/patientsafety/events/07/patientsafety_solutions_french.pdf

Recos régionales 2012 OMéDIT PACA Corse "sécurisation de l'utilisation des solutions concentrées de potassium"

http://omedit.e-santepaca.fr/sites/omedit.e-santepaca.fr/files/u19/Recommandations%20regionales%20solutions%20concentrees%20electrolytes.pdf

The "Never Events" list 2012/13, DH/Patient Safety and Investigations, 18 January 2012

http://www.dh.gov.uk/health/2012/01/never-events-update/

The High 5's Project Website

https://www.high5s.org/bin/view/Main/WebHome