A quality improvement team at a hospital was trying to reduce medication errors. The team developed a control chart that indicated a stable process with about 55 medication errors per month in the hospital for the past three years. A study of the errors indicated that about 65 percent of the errors were connected with intravenous orders. After reviewing their findings with the nursing council, they decided to develop a training module on administration of intravenous (IV) medications. Over the next three months, the module was developed and all nurses attended the four-hour training program. The training program included a self-test. Within six months, the number of IV-related medication errors was reduced by 70 percent.