At Hoag, medication errors fell 60% against baseline.
Medication errors feature in 39% of hospital adverse events, the largest single category of preventable harm. Hoag built scenarios around the errors their own data flagged, measured against baseline, and saw the results in action.
60%
Fewer medication errors
2+ years
Sustained for 2 years and counting
Publication pending
The risk
The error happens at the
decision, not the policy.
Medication-related events sit in the largest single category of preventable harm (Bates, 2023). Yet they rarely come from not knowing the policy – they come from the decision or action under load: dosing under time pressure, an interruption mid-administration, a reconciliation call at handoff.
Hoag built OMS scenarios around those exact moments, drawn from the patterns its own data flagged, and measured the result against baseline. Errors fell 60%. And those were exactly the errors that had previously led to patient harm.
Why it counts
Held to a research standard – measured against baseline.
Any endpoint is a clinical event rate your leadership already tracks. Hoag identified the error baseline then measured confidence, competence and real world medication error rate under an IRB-approved protocol.
What changes
The high-risk decisions,
practiced where they happen.
OMS puts nurses in the moments medication errors actually occur, captures their behaviors, gives immediate feedback and changes behavior in the real world.
60%
Hoag Hospital – medication errors
OMS scenarios built around Hoag’s own medication-error patterns, lead to a 60% reduction in harm.
Common questions
Answered, plainly.
Medication-safety evidence
See the medication-safety evidence for a system like yours.
We’ll send the Hoag methodology and medication scenario detail, and map the high-risk decisions to your own medication-safety data.


