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National hospital antibiotic timing measures for pneumonia and antibiotic overuse.

The development of drug-resistant bacteria from the overuse of antibiotics is a serious problem, with overutilization threatening to disarm caregivers and their patients even as together they face increasingly virulent strains of microbes. On the other hand, the speedy treatment of pneumonia with antibiotics is a firmly established, evidence-based practice, enshrined in Joint Commission on Accreditation for Healthcare Organizations Core Measures used in hospital accrediting and public reporting, and in Centers for Medicare and Medicaid Services (CMS) public-reporting and pay-for-performance ho…

American Brachytherapy Society (ABS) competencies for endobronchial/esophageal brachytherapy.

Brachytherapy approaches integrate a diverse skillset in the management of a wide range of diseases. These approaches include key clinical decision-making skills as well as a unique set of procedural skills. Consensus statement training objectives for brachytherapy were previously assembled and published by the American Brachytherapy Society. As a continuation of this effort, the development of focused competencies in line with the US Accreditation Council for Graduate Medical Education Milestones was recommended. This work is designed to create a resource to support individual programs and li…

A Blueprint for Medium-Fidelity Postpartum Hemorrhage Simulations.

Many pregnancy-related deaths remain preventable, particularly those associated with postpartum hemorrhage (PPH). The use of bundles for care of women during the perinatal period has been shown to improve maternal and neonatal outcomes. Drills or simulation-based learning are an integral part of a broader implementation of postpartum hemorrhage bundles. In addition, The Joint Commission has cited drills as one of the required performance elements of accreditation. It is therefore incumbent upon perinatal clinical teams to conduct PPH simulations as a readiness tool. This article is intended to…

Tobacco cessation in acute and critical care nursing practice: challenges and approaches.

Recently, the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) implemented new national core measures, including tobacco-cessation interventions for patients hospitalized because of pneumonia or other pulmonary-related illnesses, acute myocardial infarction, or heart failure. All interventions performed for such patients must be documented in the patient's chart. Because the JCAHO standards for tobacco cessation are implemented hospital-wide, acute and critical care nurses must take an active role in their execution. This article discusses the challenges to integrating tob…

Visualization using NIPTviewer support the clinical interpretation of noninvasive prenatal testing results.

BACKGROUND: Noninvasive prenatal testing (NIPT) is increasingly used to screen for fetal chromosomal aneuploidy by analyzing cell-free DNA ( … ion and has been implemented as part of a NIPT analysis routine that was accredited by the national accreditation body for Sweden (Swedac).

Dermatology resident comfort level treating hair conditions related to patients with skin of color.

BACKGROUND: Although recent studies demonstrated resident satisfaction in the treatment of skin of color (SOC) related disease, comfort levels treating hair specific to populations within the SOC spectrum is unclear. OBJECTIVE: The purpose of this study is to assess dermatology residents comfort level in recognizing and treating various common hair conditions with a focus on those specific to SOC. METHODS: An Institutional Review Board-approved survey was distributed to United States residents of Accreditation Council for Graduate Medical Education-accredited dermatology programs. Data perta…

Using a Systematic Approach to Teach Analysis of the Aging Face.

OBJECTIVE: To assess the efficacy of a novel systematic approach aimed at improving a resident physician's ability to perform analysis of the aging face. STUDY DESIGN: Prospective randomized case-control study. SETTING: Accreditation Council for Graduate Medical Education accredited Otolaryngology-Head and Neck Surgery residency program. METHODS: Twenty otolaryngology-head and neck surgery residents were randomized into 2 groups with even representation in each postgraduate year level in each cohort. One group used traditional materials (textbooks), and the other group was given exclusive a…

Current status of variations in in-hospital cardiac arrest call numbers in Japan: a nationwide survey.

The use of standardized internal hospital phone numbers for cardiac arrest is advocated in Europe. We evaluated the current status of variations in medical emergency call numbers for in-hospital patients in Japan and whether anesthesiologists would approve a standardized number. From June 2018 to August 2018, a questionnaire survey was mailed to anesthesiologists in 1373 Japanese Society of Anesthesiologists (JSA)-accredited hospitals. The basis for opinions on using a standardized cardiac arrest call number in all Japanese hospitals was evaluated. Of 1373 facilities (response rate, 58%, n = 8

Recommendations for a standardised educational program in robot assisted gynaecological surgery: Consensus from the Society of European Robotic Gynaecological Surgery (SERGS).

BACKGROUND: The Society of European Robotic Gynaecological Surgery (SERGS) aims at developing a European consensus on core components of a c … ication should be competence based, the panel recommended additional volume based criteria for both accreditation of training centres and certification of individual surgeons. CONCLUSIONS: Consensus was reached on minimum criteria for training in robot assisted gynaecological surgery. To transfer results into clinical practice, experts recommended a curriculum …

Test Cost and Test Accuracy in Clinical Laboratories in Kampala, Uganda.

OBJECTIVES: To assess the accuracy and costs of laboratory tests in Kampala, Uganda. METHODS: A random selection of 78 laboratories tested external quality assurance samples at market rates. There were 40 moderate- to high-complexity and 38 low-complexity laboratories. Four percent (3/78) of these laboratories were accredited and 94% (73/78) were private. The 40 moderate- to high-complexity laboratories performed malaria blood smear, urine human chorionic gonadotropin (hCG), human immunodeficiency virus (HIV), syphilis, glucose, and three-panel tests: CBC, liver function tests, and kidney fun

Integrating Emerging Data Into Clinical Practice: A Case-Based Approach for Multiple Myeloma.

Selected Patient Cases From the APSHO Regional Lecture SeriesINTRODUCTION As the official publication of the Advanced Practitioner Society for Hematology and Oncology (APSHO), JADPRO is pleased to offer Part 2 of an accredited educational activity based on the recently concluded APSHO Regional Lecture Series. Hosted in collaboration with major cancer centers around the country, the APSHO Regional Lecture Series brought case-based didactic presentations and skills workshops to advanced practitioners. In the spirit of JADPRO, three accredited Grand Rounds articles by Beth Eaby-Sandy, MSN, CRNP,

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… The Meniscus Educational Institute is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. Provider approved by the California Board of Registered Nursing, Provider No. 13164, for 0.5 contact hour. …

Construct Validity for a Cost-effective Arthroscopic Surgery Simulator for Resident Education.

INTRODUCTION: Arthroscopy is one of the most challenging surgical skills to assess and teach. Although basic psychomotor arthroscopic skills … l serial bus (USB) camera is included in the total cost. Three residency programs accredited by the Accreditation Council for Graduate Medical Education were tested on the simulator. Replica boards were created at each institution. Participants included medical students (20), residents (46), and attending physicians (9). RESULTS: Construct validity-the ability …

Recognition of Autism Spectrum Disorder (ASD) symptoms and knowledge about some other aspects of ASD among final year medical students in Nigeria, Sub-Saharan Africa.

BACKGROUND: Earlier studies suggest that knowledge about Autism Spectrum Disorder (ASD) among healthcare workers in Nigeria is low. This present study assessed the knowledge of Nigerian final year medical students about symptoms of ASD and some other aspects of ASD. This is a cross sectional descriptive study that drew a total of seven hundred and fifty-seven (757) final year medical students from ten (10) randomly selected fully accredited medical schools out of a total of twenty-seven (27) fully accredited medical schools in Nigeria. Sociodemographic and Knowledge about Childhood Autism amon

Progressive tension sutures in abdominoplasty: a review of 597 consecutive cases.

BACKGROUND: Although abdominoplasty and other body-contouring procedures are being performed more frequently, the incidence of seroma and ot … 597 abdominoplasties, 52.4% were performed in the hospital and 47.6% in an American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF)-accredited facility. In 63.7% of cases, abdominoplasty was combined with another procedure(s). Liposuction was performed on the abdominoplasty flap or an adjacent area to the abdominoplasty dissection in 67% …

The occupational safety and health in hospitals from the point of nurses.

Hospitals have many forms of danger due to many different working conditions. Hospital personnel also take risks whilst providing health care which may cause health problems to themselves. The research, related to health and safety of nurses and other staff was carried out in order to compare and determine the occupational health problems and evaluate the occupational safety precautions and applications of a private hospital accredited with JCI (Joint Commission International) and also a university hospital. The research took place amongst 162 nurses of a university hospital and 150 nurses of

Validity of duplex ultrasound as a diagnostic modality for internal carotid artery disease.

There is an increasing trend to rely on duplex ultrasound rather than angiography to measure an internal carotid artery stenosis. The aim of this study was to determine the validity of ultrasound assessment of carotid stenosis performed in community based vascular laboratories. We compared ultrasound with angiography in 225 patients referred to us for carotid intervention. Mild lesions were diagnosed by ultrasound with a sensitivity of 54%, specificity of 89%, and a positive predictive value of 89% compared with angiography. Severe lesions had a sensitivity of 93%, a specificity of 67%, and a

Intraoperative liver biopsy during metabolic and bariatric surgery: diagnostic yield, safety, and national trends.

BACKGROUND: The reliability of noninvasive methods to detect metabolic dysfunction-associated steatotic liver disease and metabolic-associated steatohepatitis (MASH) or advanced liver disease remains uncertain. OBJECTIVES: To test the hypothesis that routine liver biopsy (LB) during metabolic and bariatric surgery (MBS) at an academic center would identify a high prevalence of MASH with minimal operative risk. SETTING: Single-center metabolic and bariatric surgery accreditation and quality improvement center in Louisiana and national metabolic and bariatric surgery accreditation and quality …

A decade of progress: Declining readmissions for dehydration and acute kidney injury after bariatric surgery.

BACKGROUND: Dehydration and acute kidney injury are leading causes of readmission following bariatric surgery. Although the overall bariatric surgical safety profile has improved substantially, national trends in readmissions specifically attributed to dehydration and acute kidney injury remain unknown. The objective of our study was to evaluate national trends in postoperative readmissions because of dehydration and acute kidney injury among bariatric surgical patients. METHODS: The Metabolic and Bariatric Accreditation and Quality Improvement Program database was queried to identify patient…

Understanding implementation of the 'high volume, low complexity' surgical hubs programme in England: a qualitative study.

OBJECTIVE: To explore the implementation of England's high volume, low complexity (HVLC) surgical hubs programme from the perspective of sen … approach to implementation, framing oversight as supportive rather than punitive; and peer-to-peer accreditation, allowing for the showcasing of best practice and fostering a growing network for continued shared learning. CONCLUSION: The implementation of high-volume, low-complexity surgical hubs in England demonstrates how large-scale service reconfiguration …

Developing a culturally adapted competency framework for community paramedicine practice in Saudi Arabia.

Community paramedicine (CP) has emerged globally as a model for extending healthcare access, but little evidence exists on how it can be ada … paramedics with both clinical and culturally grounded skills. It also underscores how education and accreditation pathways can overcome sociocultural barriers to care. By linking clinical competencies with policy and governance structures, this framework provides strategic guidance for training, accreditation, and system integration, supporting Saudi Arabia's n …