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4181. The silent epidemic--the health effects of illiteracy. | PSNet
      psnet.ahrq.gov/issue/silent-epidemic-health-effects-illiteracy
      January 12, 2011 - Commentary The silent epidemic--the health effects of illiteracy. Citation Text: Marcus EN. The silent epidemic--the health effects of illiteracy. N Engl J Med. 2006;355(4):339-41. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

4182. Patient safety: Part I. Patient safety and the dermatologist. | PSNet
      psnet.ahrq.gov/issue/patient-safety-part-i-patient-safety-and-dermatologist
      June 07, 2008 - Review Patient safety: Part I. Patient safety and the dermatologist. Citation Text: Elston DM, Taylor JS, Coldiron BM, et al. Patient safety. J Am Acad Dermatol. 2009;61(2):179-190. doi:10.1016/j.jaad.2009.04.056. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3…

4183. Decision-making and safety in anesthesiology. | PSNet
      psnet.ahrq.gov/issue/decision-making-and-safety-anesthesiology
      December 02, 2020 - Review Decision-making and safety in anesthesiology. Citation Text: Stiegler MP, Ruskin KJ. Decision-making and safety in anesthesiology. Curr Opin Anaesthesiol. 2012;25(6):724-729. doi:10.1097/ACO.0b013e328359307a. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

4184. New Horizons in Patient Safety. Safe Communication: Evidence-based Core Competencies with Case Studies from Nursing. | PSNet
      psnet.ahrq.gov/issue/new-horizons-patient-safety-safe-communication-evidence-based-core-competencies-case-studies
      November 19, 2018 - Book/Report New Horizons in Patient Safety. Safe Communication: Evidence-based Core Competencies with Case Studies from Nursing. Citation Text: New Horizons in Patient Safety. Safe Communication: Evidence-based Core Competencies with Case Studies from Nursing. Hannawa AF, Wendt AL, Day L…

4185. Anatomy of a medical device recall: how defective products can slip through an outdated system. | PSNet
      psnet.ahrq.gov/issue/anatomy-medical-device-recall-how-defective-products-can-slip-through-outdated-system
      December 03, 2014 - Newspaper/Magazine Article Anatomy of a medical device recall: how defective products can slip through an outdated system. Citation Text: Anatomy of a medical device recall: how defective products can slip through an outdated system. Zipp R. Medical Tech Dive. October 18, 2021. Copy …

4186. Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened. | PSNet
      psnet.ahrq.gov/issue/clinical-lab-quality-cms-and-survey-organization-oversight-should-be-strengthened
      September 28, 2010 - Government Resource Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened. Citation Text: Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened. Washington DC; Government Accountability Office; June 2006. Report no GAO-06-416.…

4187. Nursing Homes: Despite Increased Oversight, Challenges Remain in Ensuring High-Quality Care and Resident Safety. | PSNet
      psnet.ahrq.gov/issue/nursing-homes-despite-increased-oversight-challenges-remain-ensuring-high-quality-care-and
      July 12, 2006 - Government Resource Nursing Homes: Despite Increased Oversight, Challenges Remain in Ensuring High-Quality Care and Resident Safety. Citation Text: Nursing Homes: Despite Increased Oversight, Challenges Remain in Ensuring High-Quality Care and Resident Safety. Washington DC; Governme…

4188. Office-based anesthesia: new frontiers, better outcomes, and emphasis on safety. | PSNet
      psnet.ahrq.gov/issue/office-based-anesthesia-new-frontiers-better-outcomes-and-emphasis-safety
      March 10, 2011 - Review Office-based anesthesia: new frontiers, better outcomes, and emphasis on safety. Citation Text: Desai MS. Office-based anesthesia: new frontiers, better outcomes, and emphasis on safety. Curr Opin Anaesthesiol. 2008;21(6):699-703. doi:10.1097/ACO.0b013e328313e879. Copy Citat…

4189. Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care. | PSNet
      psnet.ahrq.gov/issue/artificial-intelligence-health-care-benefits-and-challenges-technologies-augment-patient-care
      January 08, 2014 - Book/Report Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care. Citation Text: Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care. Washington DC; United States Government Accountabil…

4190. Black History Month | Agency for Healthcare Research and Quality
      www.ahrq.gov/priority-populations/observances/bhm/index.html
      February 01, 2025 - Black History Month In celebration of February as Black History Month, AHRQ is pleased to highlight the significant role and impact that African Americans have made on society. This annual observance presents an opportunity for the Agency to recognize AHRQ-funded researchers’ important contributions to improvin…

4191. Patient Safety Organizations: Hospital Participation, Value, and Challenges. | PSNet
      psnet.ahrq.gov/issue/patient-safety-organizations-hospital-participation-value-and-challenges
      February 11, 2015 - Book/Report Patient Safety Organizations: Hospital Participation, Value, and Challenges. Citation Text: Patient Safety Organizations: Hospital Participation, Value, and Challenges. US Department of Health and Human Services; Office of the Inspector General, September 2019. OIG Report N…

4192. Telemedicine: Ensuring Safe, Equitable, Person-Centered Virtual Care. | PSNet
      psnet.ahrq.gov/issue/telemedicine-ensuring-safe-equitable-person-centered-virtual-care
      March 29, 2006 - Book/Report Telemedicine: Ensuring Safe, Equitable, Person-Centered Virtual Care. Citation Text: Telemedicine: Ensuring Safe, Equitable, Person-Centered Virtual Care. Perry AF, Federico F, Huebner J. Boston, MA: Institute for Healthcare Improvement; 2021.  Copy Citation …

4193. Community Living Centers: VA Needs to Strengthen Its Approach for Addressing Resident Complaints. | PSNet
      psnet.ahrq.gov/issue/community-living-centers-va-needs-strengthen-its-approach-addressing-resident-complaints
      October 12, 2022 - Book/Report Community Living Centers: VA Needs to Strengthen Its Approach for Addressing Resident Complaints. Citation Text: Community Living Centers: VA Needs to Strengthen Its Approach for Addressing Resident Complaints. Washington, DC: United States Government Accountability Office; N…

4194. A piece of my mind. I'm sorry. | PSNet
      psnet.ahrq.gov/issue/piece-my-mind-im-sorry
      November 22, 2017 - Commentary A piece of my mind. I'm sorry. Citation Text: Kahn JS. A PIECE OF MY MIND. I'm Sorry. JAMA. 2015;313(24):2427-8. doi:10.1001/jama.2014.6507. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

4195. DOD Should Improve Its Process for Clinical Adverse Actions against Providers. | PSNet
      psnet.ahrq.gov/issue/dod-should-improve-its-process-clinical-adverse-actions-against-providers
      May 16, 2018 - Book/Report DOD Should Improve Its Process for Clinical Adverse Actions against Providers. Citation Text: DOD Should Improve Its Process for Clinical Adverse Actions against Providers. Washington, DC: United States Government Accounting Office; April 11, 2024. Publication GAO-24-106107. …

4196. Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. | PSNet
      psnet.ahrq.gov/issue/home-health-agencies-failed-report-over-half-falls-major-injury-and-hospitalization-among
      July 26, 2023 - Book/Report Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. Citation Text: Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. Maxwell A…

4197. Patient Safety Organizations: a new paradigm in quality management and communication systems in healthcare. | PSNet
      psnet.ahrq.gov/issue/patient-safety-organizations-new-paradigm-quality-management-and-communication-systems
      March 10, 2021 - Commentary Patient Safety Organizations: a new paradigm in quality management and communication systems in healthcare. Citation Text: Dotan DB. Patient safety organizations. J Clin Engineer. 2013;34(3):142-146. doi:10.1097/jce.0b013e3181aae4b2. Copy Citation Format: DOI G…

4198. White Paper: Standardized Library of Lumbar Spondylolisthesis Outcome Measures (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/white-paper-lumbar-spondylolisthesis.pdf
      March 01, 2021 - adverse reaction being similar to the stated reason for the intervention (e.g., adverse reaction to opioid

4199. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846768/psn-pdf
      March 29, 2023 - obstruction.16 Respiratory depressant medications such as opioids should be administered sparingly, and non-opioid … The benefits of opioid free anesthesia and the precautions necessary when employing it.

4200. Final Progress Report: Patient Safety in Hospice Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/smucker-report.pdf
      January 01, 2024 - D) Unintended overdose of an opioid administered by a family caregiver due to confusion or misunderstanding … of how to use concentrated oral opioid liquid preparations.