Knowing 'something is not right' is beyond intuition: development of a clinical algorithm to enhance surveillance and assist nurses to organise and communicate clinical findings.

Aims And Objectives: To develop a clinical algorithm to guide nurses' critical thinking through systematic surveillance, assessment, actions required and communication strategies. To achieve this, an international, multiphase project was initiated.

Background: Patients receive hospital care postoperatively because they require the skilled surveillance of nurses.

["Concentrated KCL-free" hospital: stopping the use of potassium chloride concentrated ampoules in clinical departments and units--steps in implementing a new policy for increasing safety of drug therapy].

Background: About one third of deaths of hospitalized patients associated with adverse drug reactions are due to hyperkalemia caused by administration of solutions that contain too high a concentration of potassium. Frequently, the reasons for these phenomena are mistakes that occur when the potassium obtained from the concentrated ampoule is diluted in the solution by department nurses. In the literature it is recommended to refrain from preparing such solutions in the departments, and to use premixed solutions which contain a known concentration of the potassium.