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SEPTEMBER 19, 2024

Fractal Management Boosts Smart Pump Safety

One health system’s story

By Bruce Buckley

Compliance with smart pump dose error reduction software (DERS) was mired at around 85% at University Hospitals (UH), in Northeast Ohio, in 2021 when a medication safety team implemented a quality improvement initiative based on the principles of fractal management.

Within two years, the DERS compliance rate increased by 5 percentage points to more than 90% systemwide, based on a study of nine UH acute care hospitals. By the end of 2023, only 11% of hospitals were below 90%,