Look out for lugol’s: Error-prevention strategies for this strong iodine solution

摘要

Problem: A couple of years ago, ISMP (Institute for Safe Medication Practices) Canada published a safety bulletin on oral dosing errors associated with Lugol's solution (potassium iodide and iodine), also referred to as strong iodine solution.1 The organization had received three reports involving incorrect oral dosing of Lugol's solution.