The AHRQ PSNet Collection comprises an extensive selection of resources relevant to the patient safety community. These resources come in a variety of formats, including literature, research, tools, and Web sites. Resources are identified using the National Library of Medicine’s Medline database, various news and content aggregators, and the expertise of the AHRQ PSNet editorial and technical teams.
Gleeson LL, Clyne B, Barlow JW, et al. Int J Pharm Pract. 2023;30:495-506.
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.
McMullan C, Propper G, Schuhmacher C, et al. Jt Comm J Qual Patient Saf. 2013;39:61-69.
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.