Quality Improvement Plans (QIPs) are one of the ways the law helps hospitals meet public expectations for quality, patient safety and accountability (SMGH, 2015). St. Mary's QIP aims to create a positive patient experience and provide high-quality healthcare (SMGH, 2015). According to the 2015-2016 QIP, the areas of quality improvement observed are care and services received in the emergency room, overall care in the hospital and recommendations to others to receive care from the hospital, waiting times and medication reconciliation on admission. (SMGH,