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%,