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| «CLINICAL CORNER» When treating hypokalemia, the maximum recommended infusion rate of IV Potassium Chloride is 20mEq/hour. Rates up to 40mEq/hour may be necessary in symptomatic cases, although this should be done through a central venous catheter. However, when infusing IV Potassium Chloride at rates greater than 20mEq/hour through a central venous catheter, it is believed that hyperkalemia may develop in the right heart chambers, thus potentially causing cardiac standstill. The recommendation at this point may be to split the dose and administer into two peripheral IV catheters, or run the Potassium Chloride at a slower rate. - The ICU Book, 3rd Edition (2007)
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In January 2006, an expert Roundtable was convened to address the subject of the Hospital of the Future. The Hospital of the Future Roundtable was charged to evaluate the current health care environment and identify the elements of the future hospital that will position it to play an appropriate role or roles in meeting the needs of patients and publics.
Among the many factors that will bore upon the Roundtable’s deliberations are the growing elderly population; explosive growth in the numbers of individuals with chronic conditions; the seemingly insatiable demand for emergency care services and intensive care; progressive expansion of applications for minimally invasive surgery and other procedures; the inexorable continuing rise in health care costs; and heightened concerns about inefficiency, access to care, and medical error across the delivery system.
The Roundtable is expected to meet over the course of the next several months. The Joint Commission and Joint Commission Resources also hosted a national symposium addressing the Hospital of the Future – Hospital of the Future: Strategies for Driving Organizational Transformation – April 26-27 in Lake Buena Vista, Florida.
These discussions led to publication of Healthcare at the Crossroads: Guiding Principles for The Development of the Hospital of The Future - Published 11/08. (Requires Adobe Reader)
-The Joint Commission, 04/28/09