Evidence-Based Medication Safety Quality Improvement Programs and Strategies for CAHs (Policy Brief #33)


This report examines evidence-based medication safety Quality Improvement (QI) programs and strategies that could be implemented in Critical Access Hospitals (CAHs), particularly with respect to MBQIP Phase 3 Measures.

Key Findings

  • Sixteen of eighteen states surveyed have implemented projects which address medication safety in Critical Access Hospitals, and 30% of the 616 CAHs in those states have participated (or are participating) in those projects.
  • All states that had implemented medication safety projects reported that the projects were successful in improving medication safety.
  • The evidence indicates that Critical Access Hospitals can improve medication safety via five strategies:
    1. maintain adequate pharmacist and nurse staffing,
    2. improve nurses’ workflow,
    3. adopt effective medication reconciliation strategies,
    4. implement appropriate technology (telehealth), and
    5. foster a culture of accountability that values quality improvement.


MBQIP Patient Safety Quality Quality Improvement