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