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.
Prescribing unnecessary antibiotics increases the risk of resistant infections and can lead to patient harm. In this cross-sectional study, researchers found that 23% of the 15,455,834 outpatient antibiotic prescriptions filled among a cohort of 19.2 million patients over a 1-year period were consistent with inappropriate prescribing.
Klein J, Delany C, Fischer MD, et al. BMJ Qual Saf. 2017;26:771-774.
Establishing errors as learning opportunities is critical for encouraging improvement. This commentary introduces the concept of a growth mindset that views failures as a chance to develop and enhance individual skills. The authors recommend strategies to embed this mindset at the organizational level and they advocate for research to examine the effectiveness of these approaches.
Fischer MA, Stedman MR, Lii J, et al. J Gen Intern Med. 2010;25:284-90.
In this analysis of nearly 200,000 electronic prescriptions, more than 20% were not filled by the patient. This phenomenon, termed primary medication non-adherence, was particularly common for medications for chronic conditions such as diabetes and hypertension.