The rate of health complications of patients on intravenous (IV) therapy at a particular hospital were higher than usual. Government inspectors found that the typical IV solutions used in this hospital had somewhat high concentrations of sodium and potassium, which were raising patients' blood pressure and taxing their kidneys. The government inspectors mandated lowering the sodium and potassium in these IV preparations, and threatened with a possible government fine. In compliance, the hospital lowered the sodium and potassium levels in the IV solutions to the correct levels. Nevertheless, patients on IV therapy at that hospital continued to have a high rate of health complications.