Remote delivery of care, such as telehealth and e-prescribing, increased sharply at the beginning of the COVID-19 pandemic. This rapid review was conducted to determine the types and frequency of medication safety incidents associated with remote delivery of primary care prior to the pandemic. Fifteen articles were identified covering medication safety and e-prescribing; none of these studies associated medication safety and telehealth.

This commentary relates challenges to meaningful and accurate quality measurement and makes recommendations to augment health care systems to improve adoption and use of quality measures.

Using defined best practices can reduce rates of central line–associated bloodstream infections (CLABSIs). Many different national initiatives aim to widely spread these evidence-based practices across medical centers. This article describes the iterative process and lessons learned by a university medical center during a 7-year initiative to decrease CLABSIs. Stakeholder buy-in and culture change are specifically highlighted as important features. The authors note that changing the culture and practice of medical and nursing staff can be difficult, taking time and perseverance. An AHRQ WebM&M perspective by Dr. Timothy Hoff discusses how to establish a safety culture.

… deployment of the rapid response team . … Duncan KD, McMullan C, Mills BM. Early warning systems: the next level …