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This multicenter evaluation found fewer medication administration errors than the published literature, possibly due to the varying observational techniques and pharmacist involvement. Lorazepam and wrong infusion rates are associated with errors that occurred frequently, resulted in the greatest potential for harm and were common oversights in the system. These errors should be considered potential areas for betterment in the medication use process to improve patient safety.

Background: Peer support is gaining recognition as a valuable component of mental health service delivery, and a meaningful employment opportunity for mental health consumers. Despite the potential benefits of peer support, there continues to be many barriers to the development and funding of peer positions. Method: The overall purpose of this multi-site project was to build capacity for employment of trained peer providers in local, community-based mental health programs. A collective case study approach was adopted to explore how peer support was integrated into traditional mental health services. In-depth interviews were conducted with both new and established peer providers and their managers in six different programs. Findings: Analysis of interview transcripts led to identification of key work transitions for peer support workers, from defining and establishing roles, to negotiating the learning curve, and dealing with the challenges associated with their unique role as both consumer and provider. Conclusion: Effective integration of peer support requires consideration of the work role, unique needs of the worker, and the overall workplace environment. Integrating peer support providers is a process that evolves over time and does not end once someone is hired.

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