I'm curious what specific high alert medications that other institutes do an independent double check on? I'm also interested in finding out when they require those double checks; during rate changes, concentration changes, starts, etc. We recently put a hard stop in our system to force a check on a few of our high alert medications and we are getting pushback (and work arounds) due to workflow issues. We still have other meds that a force hasn't been instituted on but until we get workflow sorted out I am hesitant to add more. Therefore, I'm hoping to evaluate what others feel are high alert medications that truly need to be independently double checked vs. those that will dilute the benefits of the process.