Lessons from Event Reports
A hosptial scale.
Facility Invests in Catching Weight Errors

​​After a staff member at a large hospital identified weight errors in which patient weights were entered as pounds instead of kilograms and escalated the issue before the patients experienced significant harm, the hospital invested more than $500,000 to improve the patient weighing process and reduce the occurrence of weight errors to zero. This “good catch” resulted in facilitywide replacement of scales and reprogramming of all bed scales to prevent staff from switching them between pounds and kilograms.​​