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International Journal For Quality in... Feb 2021With the rapid acceleration of changes being experienced throughout the world and in particular within health and health and social care, accreditation programmes must...
With the rapid acceleration of changes being experienced throughout the world and in particular within health and health and social care, accreditation programmes must keep pace or go the way of the dinosaur. While accreditation has deep roots in some countries, in the past 30 years, it has spread to a considerably larger range of countries in a mix of mandatory and voluntary systems. Accreditation is a tool to improve the quality of healthcare and social care, and in particular, there is recent recognition of its value in low- and middle-income countries, with promotion by the World Health Organization (WHO). The challenge is that with the rapid pace of change, how does accreditation reframe and reposition itself to ensure relevance in 2030? Accreditation must adapt and be relevant in order to be sustainable. This article outlines the fundamental principles, reviews the global trends' impact on accreditation and the challenges with the existing model and, through the lens of living in 2030, outlines how accreditation programmes will be structured and applied 10 years from now.
Topics: Accreditation; Delivery of Health Care; World Health Organization
PubMed: 33351075
DOI: 10.1093/intqhc/mzaa156 -
American Journal of Clinical Pathology Feb 2021Resident assessment tends to consist of multiple-choice examinations, even in nuanced areas, such as quality assurance. Internal medicine and many other specialties use...
OBJECTIVES
Resident assessment tends to consist of multiple-choice examinations, even in nuanced areas, such as quality assurance. Internal medicine and many other specialties use objective structured clinical examinations, or OSCEs, to evaluate residents. We adapted the OSCE for pathology, termed the Objective Structured Pathology Examination (OSPE).
METHODS
The OSPE was used to evaluate first- and second-year residents over 2 years. The simulation included an anatomic pathology sign-out session, where the resident could be evaluated on diagnostic skills and knowledge of key information for cancer staging reports, as well as simulated frozen-section analysis, where the resident could be evaluated on communication skills with a "surgeon." The OSPE also included smaller cases with challenging quality issues, such as mismatched slides or gross description irregularities. All cases were scored based on the Pathology Milestones created by the Accreditation Council for Graduate Medical Education.
RESULTS
Using this OSPE, we were able to demonstrate that simulated experiences can be an appropriate tool for standardized evaluation of pathology residents.
CONCLUSIONS
Yearly evaluation using the OSPE could be used to track the progress of both individual residents and the residency program as a whole, identifying problem areas for which further educational content can be developed.
Topics: Accreditation; Clinical Competence; Education, Medical, Graduate; Humans; Internship and Residency; Pathology, Clinical; Quality Assurance, Health Care
PubMed: 33049036
DOI: 10.1093/ajcp/aqaa143 -
American Journal of Pharmaceutical... Jan 2020As practice evolves and scientific advancements are achieved the natural inclination for educators and administrators is to add new content to existing curricula. Often...
As practice evolves and scientific advancements are achieved the natural inclination for educators and administrators is to add new content to existing curricula. Often pre-existing curricula that may be outdated or no longer relevant may go un-checked leading to excessive coursework and program completion times. Faculty may also have emotional or other attachments to certain topics or content and that may serve as an additional or independent barrier to removing extraneous material. To avoid and curtail curricular hoarding of material it may be prudent to periodically engage in reviews of material assessing them for not only adherence to accreditation standards but also in terms of their on-going appropriateness and relevance to contemporary pharmacy practice. These exercises may be especially important today given the rate of information creation and dissemination in the modern digital age.
Topics: Accreditation; Curriculum; Education, Pharmacy; Faculty; Hoarding; Humans; Pharmaceutical Services
PubMed: 32292200
DOI: 10.5688/ajpe847714 -
The Journal of the American Osteopathic... Oct 2019
Topics: Accreditation; Internship and Residency; Workload
PubMed: 31566691
DOI: 10.7556/jaoa.2019.111 -
Journal of Echocardiography Mar 2020The echocardiogram is the second most used diagnostic tool for cardiovascular patient care. Qualified sonographers are needed to consistently produce high-quality...
BACKGROUND
The echocardiogram is the second most used diagnostic tool for cardiovascular patient care. Qualified sonographers are needed to consistently produce high-quality echocardiograms to provide high-quality patient care.
METHODS
Our department uses the three major management tools to assure sonographers are qualified. (1) ASE guidelines and standards. (2) Sonographer registry system and (3) quality improvement (QI) program with the accreditation of Echo Lab. QI measures are done quarterly assessing the appropriate use criteria for echocardiography, interpreter and sonographer variability, timeliness and completeness and correlations. The variabilities are assessed along ASE guidelines and standards.
RESULTS
QI measures are mainly done by Medical Director and Technical Director. Medical Director and Technical Director discuss with individual interpreter and sonographer after QI measures are done each quarter as the feedback. Through the feedback improving the individual sonographer skills and understanding of Echo result. Our Echo Lab is accredited by Intersocietal Accreditation Commission (IAC). Accredited Echo Labs have to follow the IAC standards for echocardiography which includes those QI measures. Every sonographer in our lab is registered and complied for CME requirement to update their knowledge and skills. Twice a year QI meeting will be held and discuss about those QI measures and make consensus as Echo Lab.
CONCLUSIONS
Registered sonographer with systematic quality checking system of their work will be achieved improving the high-quality echocardiogram and leading to the high-quality patient care.
Topics: Accreditation; Allied Health Personnel; Cardiovascular Diseases; Clinical Competence; Echocardiography; Humans; Quality Improvement
PubMed: 31190291
DOI: 10.1007/s12574-019-00430-3 -
AANA Journal Apr 2020In 1934, Gertrude Fife, president of the National Association of Nurse Anesthetists (NANA), recognized a need to elevate the standards of anesthesia practice and...
In 1934, Gertrude Fife, president of the National Association of Nurse Anesthetists (NANA), recognized a need to elevate the standards of anesthesia practice and standardize the education of nurse anesthetists. Early members of the association responded by working to locate schools, setting education standards, and developing a school approval process, which eventually led to creation of the Council on Accreditation of Nurse Anesthesia Educational Programs (COA) in 1975. Examination of historical documents demonstrates that COA developed into a well-known accreditation agency that is recognized by both governmental and non-governmental organizations, meeting the goal of elevating the standards of anesthesia education and continuing this process through its commitment to promoting high-quality educational programs.
Topics: Accreditation; History, 20th Century; Humans; Nurse Anesthetists; United States
PubMed: 32234197
DOI: No ID Found -
Joint Commission Journal on Quality and... Aug 2022Mark Chassin, MD, FACP, MPP, MPH, former president and CEO of The Joint Commission, is one of this year's recipients of the John M. Eisenberg Patient Safety and Quality...
Mark Chassin, MD, FACP, MPP, MPH, former president and CEO of The Joint Commission, is one of this year's recipients of the John M. Eisenberg Patient Safety and Quality Awards. During his 14 years as president, Dr. Chassin oversaw the activities of the nation's predominant standards-setting and accrediting body in health care. He introduced profound changes to Joint Commission accreditation and certification programs during that time. Under his leadership, accreditation shifted away from simply citing deficiencies to helping to drive improvement, as summarized in the motto, "Evaluate, educate and inspire." He has had a remarkable career and is being recognized with an Honorary Lifetime Achievement Award by The National Quality Forum and The Joint Commission, the sponsors of the Eisenberg Awards.
Topics: Awards and Prizes; Humans; Joint Commission on Accreditation of Healthcare Organizations; Leadership; Patient Safety; Safety Management; United States
PubMed: 35902141
DOI: 10.1016/j.jcjq.2022.05.004 -
Journal of Cardiothoracic and Vascular... Jan 2021In recent years, there has been a dramatic rise in the use of echocardiography in perioperative and critical care medicine. It is now recommended widely as a first-line... (Review)
Review
In recent years, there has been a dramatic rise in the use of echocardiography in perioperative and critical care medicine. It is now recommended widely as a first-line diagnostic tool when approaching patients in shock, due to its ability to identify shock etiology and response to treatment noninvasively. To match the increasing training demand, and to ensure maintenance of high-quality and reproducible scanning, several accreditation pathways have been developed worldwide. Critical care echocardiography training pathways can include both transthoracic and transesophageal scanning and range from basic focused protocols to advanced comprehensive scans. The complexity of each individual training program is reflected in its accreditation process. While basic accreditations may require only course attendance and a relatively brief logbook, comprehensive accreditations often require extensive logbooks and written and practical examinations. Currently, the use of transoesophageal echocardiography remains restricted largely to cardiothoracic anesthesia and critical care; however, its use in the general intensive care setting is growing. This narrative review summarizes the most common training pathways, their curricula, and accreditation requirements. The authors initially focus on echocardiography training in the United Kingdom, and then go on to describe similar international accreditations available in Europe, North America, and Australasia.
Topics: Accreditation; Critical Care; Echocardiography; Europe; Humans; North America; Perioperative Care; United Kingdom
PubMed: 32768252
DOI: 10.1053/j.jvca.2020.07.046 -
Langenbeck's Archives of Surgery Nov 2019A key measure to maintain and improve the quality of healthcare is the formal accreditation of provider units. The European Society of Endocrine Surgeons (ESES)... (Review)
Review
BACKGROUND/PURPOSE
A key measure to maintain and improve the quality of healthcare is the formal accreditation of provider units. The European Society of Endocrine Surgeons (ESES) therefore proposes a system of accreditation for endocrine surgical centers in Europe to supplement existing measures that promote high standards in the practice in endocrine surgery.
METHODS
A working group analyzed the current healthcare situation in the field of endocrine surgery in Europe. Two surveys were distributed to ESES members to acquire information about the structure, staffing, caseload, specifications, and technology available to endocrine surgery units. Further data were sought on tracer diagnoses for quality standards, training provision, and research activity. Existing accreditation models related to endocrine surgery were included in the analysis.
RESULTS
The analysis of existing accreditation models, available evidence, and survey results suggests that a majority of ESES members aspire to a two-level model (termed competence and reference centers), sub-divided into those providing neck endocrine surgery and those providing endocrine surgery. Criteria for minimum caseload, number and certification of staff, unit structure, on-site collaborating disciplines, research activities, and training capacity for competence center accreditation are proposed. Lastly, quality indicators for distinct tracer diagnoses are defined.
CONCLUSIONS
Differing healthcare structures, existing accreditation models, training models, and varied case volumes across Europe are barriers to the conception and implementation of a pan-European accreditation model. However, there is consensus on accepted standards required for accrediting an ESES competence center. These will serve as a basis for first-stage accreditation of endocrine surgery units.
Topics: Accreditation; Child; Endocrine Surgical Procedures; Germany; Hospital Units; Humans; Quality Assurance, Health Care
PubMed: 31494716
DOI: 10.1007/s00423-019-01820-y -
Air Medical Journal 2024
Topics: Accreditation; Humans; United States; Air Ambulances
PubMed: 38821693
DOI: 10.1016/j.amj.2024.04.002