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Patient Safety

  • Reduction Efforts

Reduction efforts for National Quality Foundation Serious Reportable Events medication errors

  • Medication errors resulting in serious injury or patient death included four events in 2020 and five events in 2021. 
  • Each of these events undergoes investigation, cause analysis, and improvement action plans, some of which are as follows:
    • Alerting nursing staff when high risk medications are stopped by providers
    • Measuring medication barcode scanning
    • Measuring use of intravenous pump safety features
    • Implementing proper hand-offs of care
    • Creating double-checks upon medication ordering
    • Emphasizing daily patient weight documentation

Related Quality Information

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