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Journal of Continuing Education in... Dec 2023In 2023, the American Nurses Credentialing Center (ANCC) Nursing Continuing Professional Development (NCPD) and Transition to Practice Directors highlighted the...
In 2023, the American Nurses Credentialing Center (ANCC) Nursing Continuing Professional Development (NCPD) and Transition to Practice Directors highlighted the ever-changing professional development environment. This column highlights this year's key topics: academic and practice partnerships, workforce development, updated accreditation standards, and mentoring. .
Topics: Humans; United States; Nursing Staff, Hospital; Education, Nursing, Continuing; Accreditation; Credentialing; Mentoring
PubMed: 38011724
DOI: 10.3928/00220124-20231113-02 -
Surgery For Obesity and Related... Jul 2023
Comment on: Black-versus-White racial disparities in 30-day outcomes at Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program-accredited centers: a needed quality indicator.
Topics: Humans; Quality Improvement; Quality Indicators, Health Care; Bariatric Surgery; Obesity, Morbid; Accreditation; Treatment Outcome; Retrospective Studies; Gastrectomy
PubMed: 37030975
DOI: 10.1016/j.soard.2023.02.017 -
Surgery For Obesity and Related... Jul 2023
Topics: Humans; Quality Improvement; Bariatric Surgery; Gastric Bypass; Bariatrics; Accreditation; Obesity, Morbid; Treatment Outcome; Retrospective Studies; Gastrectomy; Postoperative Complications
PubMed: 36935294
DOI: 10.1016/j.soard.2023.01.026 -
Journal of the American Association of... Nov 2023Many organizations play a role in creating, supporting, clarifying, and certifying the foundational documents for nurse practitioner (NP) education and practice. Quality... (Review)
Review
Many organizations play a role in creating, supporting, clarifying, and certifying the foundational documents for nurse practitioner (NP) education and practice. Quality standards for NP education are promulgated by the American Association of Colleges of Nursing (AACN) and the National Organization of Nurse Practitioner Faculties (NONPF). Competency-based education, in the form of interactive learning, helps bridge the gap between theory and practice. In 2021, AACN released new competencies that correspond to 10 domains which reflect the uniqueness of the nursing profession and guide professional nursing education. The NONPF and AACN are co-facilitators of a multi-organizational group called the National Task Force (NTF) on quality nurse practitioner education that standardizes the general evaluation of NP education. In 2022, the NTF updated the evaluation standards in response to the new competencies. Schools are accredited by one of three agencies: The Commission on Collegiate Nursing Education, The Accreditation Commission for Education in Nursing, and The National League for Nursing Commission for Nursing Education Accreditation. The eight NP specialties each have their own certifying bodies. The National Council of State Boards of Nursing is involved in regulation of NPs. The purpose of this article is to update stakeholders, including NPs, preceptors, and nurse faculty, about the various agencies and guidelines that inform education standards, accreditation, certification, and regulation of NP practice. A review of recently published guidelines with a summary of implications is also presented.
Topics: Humans; Nurse Practitioners; Education, Nursing; Curriculum; Certification; Accreditation
PubMed: 37141565
DOI: 10.1097/JXX.0000000000000873 -
International Journal of Pharmaceutical... 2023The impending updates to United States Pharmacopeia Chapter <797> and Chapter <795> specify that compounders must obtain active pharmaceutical ingredients and...
The impending updates to United States Pharmacopeia Chapter <797> and Chapter <795> specify that compounders must obtain active pharmaceutical ingredients and should obtain excipients from FDA-registered facilities. Additionally, the U.S. Food and Drug Administration cautions compounders to know their bulk active pharmaceutical ingredients and excipients suppliers. While the U.S. Food and Drug Administration expects 503B outsourcing facilities to qualify their critical suppliers, pharmacy boards and accrediting bodies are beginning to ask 503A compounders for their list of approved suppliers and how they qualify them. As such, pharmacies should become comfortable in qualifying suppliers as part of their quality assurance program. This article discusses how pharmacies can apply the elements of supplier qualification to their practice to ensure that critical supplies and services meet company specifications for quality and compliance.
Topics: United States; Excipients; United States Food and Drug Administration; Pharmacies; Pharmaceutical Services
PubMed: 38100663
DOI: No ID Found -
Accreditation model of European Haemophilia Centres in the era of novel treatments and gene therapy.Haemophilia : the Official Journal of... Nov 2023The international certification of haemophilia centres in Europe is run by the European Association of Haemophilia and Allied Disorders (EAHAD) and European Haemophilia...
INTRODUCTION
The international certification of haemophilia centres in Europe is run by the European Association of Haemophilia and Allied Disorders (EAHAD) and European Haemophilia Consortium (EHC) since 2013. The centres are designated as European Haemophilia Comprehensive Care Centres (EHCCC) or European Haemophilia Treatment Centres (EHTC), based on the specific requirements which evaluate centres' ability to provide care for patients with haemophilia and allied disorders.
AIM
To establish the new protocol for accreditation of European Haemophilia Centres.
METHODS
EAHAD, in collaboration with EHC, established Accreditation Working Group with the aim to define necessary measures to safeguard quality and improvement of bleeding disorders care throughout Europe and to build a novel model for accreditation of European Haemophilia Centres.
RESULTS
The European guidelines for certification of haemophilia centres have been updated to guidelines for the accreditation and include all the requirements regarding facilities, laboratory and personnel needed for optimal management of novel treatment options, including the introduction of the hub-and-spoke model for delivery of gene therapy. A pilot project for the accreditation of haemophilia centres including on-site audit has been designed.
CONCLUSION
Implementation of the novel accreditation protocol of the haemophilia treatment and haemophilia gene therapy centres has been made to further improve the quality of care for patients with haemophilia and other inherited bleeding disorders.
Topics: Humans; Hemophilia A; Pilot Projects; Accreditation; Europe; Certification
PubMed: 37819168
DOI: 10.1111/hae.14887 -
JB & JS Open Access 2023The Association of American Medical Colleges and the American Academy of Orthopaedic Surgeons have incorporated diversity and inclusion as one of their primary goals.... (Review)
Review
BACKGROUND
The Association of American Medical Colleges and the American Academy of Orthopaedic Surgeons have incorporated diversity and inclusion as one of their primary goals. Orthopaedic surgery remains the least diverse medical specialty when measured for practicing physicians and trainees. The purpose of this study was to determine the number and distinct types of diversity, equity, and inclusion (DEI) positions within orthopaedic surgery residency programs in the United States.
METHODS
The Fellowship and Residency Electronic Interactive Database was used to obtain a list of all Accreditation Council for Graduate Medical Education-accredited orthopaedic surgery residency programs. The following was collected from 193 residency program websites between June 6, 2022, and June 26, 2022: program location, university or community based, allopathic or osteopathic recognition, number of faculty in the orthopaedic department, number of residents per year, diversity-related statements, and diversity-focused faculty positions.
RESULTS
Of the 193 programs evaluated, 74 (38.9%) included DEI statements on their website while only 42 (21.8%) had at least one DEI-specific faculty role (e.g., diversity committee, diversity liaison, vice chair for DEI). For 16 (8.3%) programs, the faculty role was nonspecific to the orthopaedic residency program. Nonspecific roles were primarily created by the affiliated school of medicine, but in 4 (2.1%) outlier cases, faculty members assumed DEI roles through a medical center, a graduate medical education program, or a department of surgery.
CONCLUSIONS
Less than half of orthopaedic surgery residency programs currently advocate for DEI on their associated websites while fewer than 25% have a DEI faculty position. Previous studies have called for a greater number of DEI positions and committees among orthopaedic residencies because of the lower admittance rate of qualified Under Represented in Medicine (URiM) applicants. A role dedicated to DEI may increase the number of women and URiM applicants pursuing a career in orthopaedic surgery.
PubMed: 37600843
DOI: 10.2106/JBJS.OA.23.00023 -
JAMA Sep 2023
PubMed: 37698579
DOI: 10.1001/jama.2023.15520 -
Surgery For Obesity and Related... Jul 2023Data-driven tools can be designed to provide patient-personalized estimates of health outcomes. Clinical calculators are commonly built to assess risk, but potential...
BACKGROUND
Data-driven tools can be designed to provide patient-personalized estimates of health outcomes. Clinical calculators are commonly built to assess risk, but potential benefits of treatment should be equally considered. The American College of Surgeons Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) sought to create a risk and benefit calculator for adult patients considering primary metabolic and bariatric surgery with multiple prediction features: (1) 30-day risk, (2) 1-year body mass index (BMI) projections, and (3) 1-year co-morbidity remission.
OBJECTIVE
To assess the performance of the 1-year BMI projections feature of this tool.
SETTING
Not-for-profit organization, clinical data registry.
METHODS
MBSAQIP data from 596,024 cases across 4.5 years from 882 centers with ∼2.5 million records through 18 months postoperatively were included. A generalized estimating equation model was used to estimate BMI over time for 4 primary procedures: laparoscopic adjustable gastric band, laparoscopic sleeve gastrectomy, laparoscopic Roux-en-Y gastric bypass, and biliopancreatic diversion with duodenal switch.
RESULTS
The mean absolute error (MAE) in BMI predictions through postoperative month 12 was 1.68 units; overall correlation of actual and predicted BMI was .94. MAE of postoperative BMI estimates (1-12 mo) was lowest for laparoscopic sleeve gastrectomy (1.64) and highest for biliopancreatic diversion with duodenal switch (1.99). BMI predictions at 12 months showed MAE = 2.99 units.
CONCLUSIONS
Predicted BMI closely aligned with actual BMI values across the 12-month postoperative period. The MBSAQIP Bariatric Surgical Risk/Benefit Calculator is publicly available with the intent to facilitate patient-clinician communication and guide surgical decision making. This tool can aid in evaluating postoperative risk as well as benefits and long-term expectations.
Topics: Adult; Humans; Quality Improvement; Treatment Outcome; Bariatric Surgery; Gastric Bypass; Gastrectomy; Laparoscopy; Accreditation; Obesity, Morbid; Retrospective Studies
PubMed: 36639320
DOI: 10.1016/j.soard.2022.12.028