An ICU nurse injected a patient with 10ml (20 MeQ) of Potassium Chloride believing that it was normal saline. The bottles were the same size and had similar labels. The patient died minutes later. What consequences should occur? Should the nurse be subjected to negligence charges? Should any other parties be held responsible? In addition to legal actions, what other actions and / or safeguards should the hospital consider given this sentinel event
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