This report, submitted by a student, examines quality initiatives within a healthcare setting, specifically focusing on the St. Stephan multispecialty hospital. The report begins by outlining the need for quality improvement in healthcare, emphasizing the role of technology and patient safety. It then presents a case study from the perspective of a nurse working in the emergency department, highlighting the implementation of various initiatives such as telehealth, infection detecting tools, and an electronic patient record system. The report details specific recommendations for improving medication management, including the use of wireless tracking systems and automated medication tray management. Furthermore, the report addresses the importance of managing the change process, emphasizing the role of communication, real-time feedback, and involving frontline staff in the implementation of new technologies and programs. The report concludes by summarizing the key findings and recommendations for successful quality improvement in healthcare.