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The PSNet Collection: All Content

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.

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Displaying 1 - 9 of 9 Results
Ude-Okeleke RC, Aslanpour Z, Dhillon S, et al. J Pharm Pract. 2023;36:357-369.
Older adults are particularly vulnerable to medication-related safety events. This systematic review including 21 studies on medication-related problems in in older adults identified several types of safety issues (e.g., potentially inappropriate prescribing, polypharmacy, adverse drug reactions) that lead to poor outcomes among older adults in nursing homes, inpatient care, and community settings. The authors found the classes of medication related problems are similar to studies from a decade ago, suggesting that more intensive monitoring is needed.
Peat G, Olaniyan JO, Fylan B, et al. Res Social Adm Pharm. 2022;18:3534-3541.
The COVID-19 pandemic has impacted all aspects of healthcare delivery for both patients and health care workers. This study explored the how COVID-19-related policies and initiatives intended to improve patient safety impacted workflow, system adaptations, as well as organizational and individual resilience among community pharmacists.
Olaniyan JO, Ghaleb M, Dhillon S, et al. Int J Pharm Pract. 2015;23:3-20.
This systematic review found that incidence rates of medication errors in primary care ranged between 1% and 90% across included studies, suggesting that further research is needed to identify the true incidence. The authors identified most errors in the prescribing stage, and older patients and children seem to be at highest risk.
Benning A, Dixon-Woods M, Nwulu U, et al. BMJ. 2011;342:d199.
This study is the second phase of the United Kingdom's Safer Patients Initiative (SPI), a large-scale effort to improve patient safety through multifaceted interventions and an independent evaluation. Similar to the first phase study, this one demonstrated little added benefit of SPI on key safety outcomes in 20 hospitals, though overall safety did improve. An accompanying editorial [see link below] discusses the study findings and emphasizes the continued need to run toward science rather than away from it in evaluating quality improvement efforts.