Elderly Patient Safety Management Using Peer to Peer Safety Companion (P2PSC) Intervention
Abstract
Adverse events, particularly falls and medication errors, remain a significant challenge in elderly patient care at home. The Peer to Peer Safety Companion (P2PSC) intervention leverages peer support to enhance patient engagement and safety vigilance. This study aimed to evaluate the effectiveness of P2PSC in reducing fall risk and improving medication adherence among elderly patients at home. A quasi-experimental one-group pretest-posttest design involved 56 elderly participants receiving P2PSC support for 4 days over 2 weeks. Data analysis revealed significant reductions in fall incidents (p=0.001) and improvements in medication adherence (p=0.001). Mean fall risk scores decreased from 12.5 to 9.2, while medication adherence scores increased from 72.5 to 81.3. The P2PSC intervention effectively enhances safety management for elderly patients and is recommended as a supplementary standard in geriatric care management at home.
References
Conwell, Y., Van Orden, K. A., Stone, D. M., McIntosh, W. L. K. W., Messing, S., Rowe, J., Podgorski, C., Kaukeinen, K. A., & Tu, X. (2021). Peer Companionship for Mental Health of Older Adults in Primary Care: A Pragmatic, Nonblinded, Parallel-Group, Randomized Controlled Trial. American Journal of Geriatric Psychiatry, 29(8), 748–757. https://doi.org/10.1016/j.jagp.2020.05.021
Creswell, J. W. (2009). Research Design: Qualitative, Quantitative, and Mixed Methods Approaches. SAGE Publications. chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.ucg.ac.me/skladiste/blog_609332/objava_105202/fajlovi/Creswell.pdf
He, Y., Pang, Y., Liu, Y., Li, Z., Wang, Y., Zhang, Y., Su, Z., Song, L., He, S., Wang, B., & Tang, L. (2025). Companionship and Sharing Create Social Connections of an Online Community-Based Intervention for Patients with Cancer Receiving Outpatient Care: Pilot Study. JMIR Cancer, 11. https://doi.org/10.2196/64977
Huh, A., & Shin, J. H. (2021). Person-Centered Care Practice, Patient Safety Competence, and Patient Safety Nursing Activities of Nurses Working in Geriatric Hospitals. International Journal of Environmental Research and Public Health, 18(10). https://doi.org/10.3390/ijerph18105169
Joo, J. H., Bone, L., Forte, J., Kirley, E., Lynch, T., & Aboumatar, H. (2022). The Benefits and Challenges of Established Peer Support Programmes for Patients, Informal Caregivers, and Healthcare Providers. Family Practice, 39(5), 903–912. https://doi.org/10.1093/fampra/cmac004
Lee, S. H., & Yu, S. (2020). Effectiveness of Multifactorial Interventions in Preventing Falls Among Older Adults in the Community: A systematic review and meta-analysis. In International Journal of Nursing Studies (Vol. 106). Elsevier Ltd. https://doi.org/10.1016/j.ijnurstu.2020.103564
Morisky, D. E., Ang, A., Krousel‐Wood, M., & Ward, H. J. (2008). Retracted: Predictive Validity of a Medication Adherence Measure in an Outpatient Setting. The Journal of Clinical Hypertension, 10(5), 348–354. https://doi.org/10.1111/j.1751-7176.2008.07572.x
Reidy, C., Doble, E., Robson, A., & Kar, P. (2024). Peer support in chronic health conditions. BMJ, 386, e070443. https://doi.org/10.1136/bmj-2022-070443
Sanchez‐Moscona, C., & Eiroa‐Orosa, F. J. (2021). Training Mental Health Peer Support Training Facilitators: A qualitative, participatory evaluation. International Journal of Mental Health Nursing, 30(1), 261–273. https://doi.org/10.1111/inm.12781
Schwei, R. J., Hetzel, S., Kim, K., Mahoney, J., DeYoung, K., Frumer, J., Lanzafame, R. P., Madlof, J., Simpson, A., Zambrano-Morales, E., & Jacobs, E. A. (2021). Peer-to-Peer Support and Changes in Health and Well-being in Older Adults Over Time. JAMA Network Open, 4(6), e2112441. https://doi.org/10.1001/jamanetworkopen.2021.12441
Shalaby, R. A. H., & Agyapong, V. I. O. (2020). Peer Support in Mental Health: Literature Review. JMIR Mental Health, 7(6), e15572. https://doi.org/10.2196/15572
Solihin, A. H., & Effendy, C. (2024). Key Factors and their Dimensions in Patient Safety Culture in Elderly Care: A Scoping Review. International Journal of Medical Toxicology & Legal Medicine, 27(2). https://ijmtlm.org
WHO. (2021). Global Patient Safety Action Plan 2021–2030: Towards eliminating avoidable harm in health care. https://creativecommons.org/licenses/by-nc-sa/3.0/igo).
Keywords
P2PSC, Patient Safety Management, Geriatrics

This work is licensed under a Creative Commons Attribution 4.0 International License.



