What actions has your health care organization (or health care organizations in general) implemented to manage or prevent these “never events” from happening within their health care facilities?

The Center for Medicare and Medicaid Services (CMS) publishes a list of health care-acquired conditions (HACs). What actions has your health care organization (or health care organizations in general) implemented to manage or prevent these “never events” from happening within their health care facilities? Support your response with a minimum two peer-reviewed articles