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PubMed2003

[Certification and quality management of a complex university cardiac center according to law EN ISO 9001: 2000].

Quality management systems can improve quality in health care units. The introduction of a quality management system according to ISO 9001: 2000 in a university department of cardiovascular surgery is described. First a thorough analysis of all processes of patient treatment and clinical research was obtained. Multiple interfaces had to be defined to different departments as well as to administration units. All necessary resources were evaluated and optimised. Customer satisfaction was evaluated by surveys of patients and collaborating physicians. Quality rounds including physicians, nurses and technicians were instituted. Based on these preparatory works all processes including their responsibilities and necessary resources were redefined and described in the quality manual. After 18 months' of certification of our quality management system according to ISO 9001: 2000 was recommended by an independent, accredited organisation. In summary, certification of a university department of cardiovascular surgery according to ISO 9001: 2000 is possible and may represent the first step towards total quality management. In complex health care units the certification of individual departments may help to generate a consciousness for quality on the road to total quality management.

Cardiac Care Facilities↗
PubMed1992

Factors which predict performance on the National Certification Examination for Nurse Anesthetists.

Predicting the performance of registered nurse anesthesia students (RNAS) on the national certification examination (NCE) is an area of interest to educators, students, and employers. Following graduation from an accredited nurse anesthesia educational program, RNAS must pass the NCE to practice. The purpose of this study was to investigate 13 academic, demographic, and preadmission factors which predict RNAS' performance on the NCE. This retrospective analysis included 1,690 RNAS who took the five NCEs administered from December 1987 through December 1989. Results of multiple regression analyses revealed that seven of the 13 academic, demographic, and preadmission variables were predictive of performance on the NCE. These variables included science and overall grade point average (GPA), highest degree attained before entry, gender, number of cases, age, and years of nursing experience. The GPA in science accounted for 24% of the variance in the overall certification examination score, and the remaining six variables contributed an additional 3% to the variance. Variables which were not predictive of performance on the NCE included type of nursing preparation, clinical background, type of nurse anesthesia program, case hours, number of science hours, and length of the nurse anesthesia program. Additional research findings from the one-way analysis of variance of the categorical variables indicate that level of education before entry into a nurse anesthesia educational program is predictive of performance on the NCE. RNAS with bachelor's or master's degrees achieve higher mean certification examination scores than RNAS with diplomas or associate degrees. Similar results were found for the type of nurse anesthesia program.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed2003

Attributes of curriculum athletic training programs related to the passing rate of first-time certification examinees.

The purpose of this study was twofold: (1) to identify attributes of athletic training programs that have been accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP) as they relate to outcomes of their students on the National Athletic Training Association Board of Certification (NATABOC) examination and (2) to determine the most effective curriculum in preparing candidates for the examination. For all subjects, the following survey information was assessed: the seven domains (competencies), number of clinical rotation sites, grade point average requirement, faculty responsibilities, faculty terminal degrees, faculty K-12 experience, association with allied health schools, capstone course availability, and course examination similarities. Fifty-four subjects, representing 60% of all of the program directors of CAAHEP accredited athletic training programs, responded in this study. Data were analyzed using a general linear model procedure and regression analyses. Even domains of athletic training, variety of rotation sites, clinical responsibility of faculty, faculty terminal degrees, and faculty K-12 school experience significantly affected the passing rate of first time certification examinees. Grade point average requirement, allied health school association, course examination format, and capstone course were not related significantly to the passing rate of first-time certification examinees. The most effective curricular model included the seven domains of athletic training, faculty clinical responsibilities, and faculty K-12 work experience as related to the passing rate. Emphasizing the domains of athletic training (competencies), having a variety of rotation sites, separating clinical and academic responsibilities for faculty, and having faculty with terminal degrees and less public school experience increase the passing rate of first-time NATABOC examinees. The most effective curricular model in affecting passing rate, according to this study, includes emphasizing the seven domains of athletic training (competencies), separating clinical and academic responsibilities of faculty, and not focusing on hiring faculty with K-12 work experience. Although this article focuses primarily on athletic training education, we believe that this study can be used as a model to evaluate educational programs in other allied health, competency-based educational programs.

Allied Health Personnel↗
PubMed2004

AOA membership and board certification of residency graduates: comparison of three programs accepting osteopathic physicians--implications for graduate medical education.

The purpose of this study was to determine membership status in the American Osteopathic Association (AOA) and osteopathic board certification status for osteopathic physicians completing osteopathic, allopathic, and dually accredited residency programs. Rates of AOA membership and osteopathic board certification of osteopathic graduates from a dually accredited residency were compared to rates of osteopathic graduates of an allopathic residency in the same training facility. These same two parameters were compared between the dually accredited residency and an osteopathic residency. Osteopathic graduates from the dually accredited residency had significantly higher rates of AOA membership and osteopathic board certification when compared with the osteopathic graduates of an allopathic residency. Moreover, no significant difference existed between the rates of these two measures for osteopathic resident graduates from the dually accredited residency when compared with graduates of an osteopathic residency. Implications of the results are discussed.

Certification↗
PubMed2004

A report on the Council on Certification of Nurse Anesthetists 2001 Professional Practice Analysis.

The purpose of this article is to report the results of the 2001 Professional Practice Analysis performed by the Council on Certification of Nurse Anesthetists. This analysis was used to validate the content and test specifications for the National Certification Examination. A total of 2,545 surveys were mailed to 2 groups of Certified Registered Nurse Anesthetists and 1,197 surveys were returned, a response rate of 47%. The first section of the survey gathered relevant demographic, educational, and experiential background. The second section gathered data concerning the frequency in which they encountered, and the level of expertise required to manage, patient conditions and surgical procedures. The results from this survey were consistent with previous surveys. The Rasch rating scale model was used to transform the results from ordinal data into a linear measure of the item frequency and importance. Members of the Council on Certification of Nurse Anesthetists carefully reviewed all the survey results and voted to maintain the current test specifications and percentages.

Anesthesia↗
PubMed2001

Certification: perspectives on competency assurance.

As registered professional nurses, we have an obligation to our patients to assure we are practicing at a competent level. Nurse managers and administrators must show to the Joint Commission for Accreditation of Healthcare Organization (JCAHO) that the nurses providing care in their facility are competent. Assessing competency is not a simple task, and there is no 1 correct answer or definition of competence or competency assessment. Some of the methods available for competency assessment are self-assessment models, multiple choice examinations used for certification and licensure, oral or essay examinations, and practice or patient simulations. The Certification Board Perioperative Nursing (CBPN) recognizes that learning and competency maintenance is accomplished in a variety of ways, and that learning is achieved through successful participation in various professional activities. Becoming certified and remaining certified, or completion of the Professional Perioperative Portfolio are ways for nurses to continue to show competency in perioperative nursing. Research is vital to validate that certification does indeed show competency. The research committee of CBPN and the Nurse Credentialing Research Coalition (NCRC) are committed to quantify not only the value of the credential but to examine the personal, professional, and practice outcomes of certified nurses across the country. It is hoped that the current research being conducted will eventually allow concerned parties to have assurance that the certified professional registered nurse is indeed a competent registered nurse.

Certification↗
PubMed2004

Education and certification of laboratory medicine.

Not only are there differences in the definition of a specialist, but there are also different education systems for residents and certifications of specialists of laboratory medicine from country to country. The resident education program, the certification system of specialists of laboratory medicine, requirements for specialist examination, requirements for training hospitals, and the quota system for resident distribution in Korea are reported here for comparison with other countries' systems. Also, the function of a specialist society for laboratory medicine is described, to demonstrate its profound involvement in the education and certification of laboratory medicine.

Certification↗
PubMedDate not supplied

A profile of certification for pediatric nurses.

Over the past 15 years, more than 5,000 nurses have earned specialty nursing certification in pediatrics. While approximately 68% of these nurses have maintained this certification, many have allowed their certification to lapse. Surveys were conducted to describe differences between these two groups.

Attitude of Health Personnel↗
PubMed2002

Healthcare teams over the Internet: towards a certificate-based approach.

Healthcare environments are a representative case of collaborative environments since individuals (e.g. doctors) in many cases collaborate in order to provide care to patients in a more proficient way. At the same time modem healthcare institutions are increasingly interested in sharing access of their information resources in the networked environment. Healthcare applications over the Internet offer an attractive communication infrastructure at worldwide level but with a noticeably great factor of risk. Security has therefore become a major concern for healthcare applications over the Internet. However, although an adequate level of security can be relied upon digital certificates, if an appropriate security policy is used, additional security considerations are needed in order to deal efficiently with the above team-work concerns. The already known Hybrid Access Control security model supports and handles efficiently healthcare teams with active security capabilities and is capable to exploit the benefits of certificate technology. In this paper we present the way for encoding the appropriate authoritative information in various types of certificates, as well as the overall operational architecture of the implemented access control system for healthcare collaborative environments over the Internet. A pilot implementation of the proposed methodology in a major Greek hospital has shown the applicability of the proposals and the flexibility of the access control provided.

Access to Information↗
PubMed2004

[Certification of pathology institutions--a new direction? The view of a University Pathology Institute].

Pathology institutes in the German university setting have thus far refrained from certification according to DIN EN ISO 9001:2000, due to the complexity and multiplicity of the requirements in diagnostics, research, and teaching. In parallel to the introduction of a quality-management system, the Institute of Pathology, University Hospital Dresden, has been the first academic pathology institution to undertake the challenge of the highly demanding procedures of a certification and to bring it to a successful end. The present article describes the motivation, experience, and efforts of the process of certification, and presents examples from the resulting management manual.

Academies and Institutes↗
PubMed2004

Review of death certificate diagnosis of coronary heart disease and heart failure in Japan.

Vital statistics for coronary heart disease (CHD) were dramatically influenced by the tenth revision of the International Classification of Diseases (ICD-10) in 1995. To better understand the accuracy of death certificate diagnosis of CHD and heart failure, validation studies in Japan were reviewed. Positive predictive values and sensitivity, calculated as validation measures, varied widely between studies, differing with regard to autopsy rates, amount of information on medical records, and period investigated. However, heart failure, which has been frequently assigned on death certificates in Japan, was validated in some studies. Half of these were evaluated to be sudden deaths, including coronary deaths. Because autopsy-based studies on sudden deaths indicated that 30-50% of these were accounted for by CHD deaths, deaths assigned to heart failure should be taken into consideration in order to determine the actual number of CHD deaths in Japan. Focusing on changes in vital statistics after the 1995 ICD revision, the Oita Cardiac Death Surveys (OCDS) allowed interpretation of its effects on CHD and heart failure. Much of the increase in CHD deaths on vital statistics reflects more false positive cases, particularly for out-of-hospital deaths. Considering the Japanese features of vital statistics for CHD, further epidemiological validation studies are needed in order to confirm the accuracy of CHD death certificate diagnoses and to monitor actual CHD trends in Japan.

Coronary Disease↗
PubMedDate not supplied

Use of death certificates for mesothelioma surveillance.

Data from the Massachusetts Cancer Registry and death certificates were linked for mesothelioma cases reported to the registry from 1982 through 1987 to determine the extent to which the cause of death information that is given on the death certificate is useful in identifying mesothelioma cases for disease surveillance. Only 12 percent of all persons reported with mesothelioma who had died were detected using underlying cause of death codes for cancers of the peritoneum and pleura, which are commonly used to identify mesothelioma cases. The rate increased to 83 percent when death certificates were reviewed manually for any mention of mesothelioma. Surveillance using only the coded cause of death data currently available will result in a large underascertainment of mesothelioma cases.

Death Certificates↗
PubMed2006

[Analysis of results of certification of bacteriologists in Georgia and the ways of its optimization].

Analysis of the certification of bacteriologists in Georgia (234 specialists) has shown that 164 specialists (90-100%) passed the certificate examination with high and excellent scores. It indicates to the importance of expansion of test-questionnaires as well as their complication by 8.8%-9.4%. Specialists with low, average and good progress in studies showed almost the same scores (75-80%). All together it makes 26% of those who did not pass the examination. According to subjects, most specialists make mistakes in general microbiology, especially in morphology and physiology of microbes, practical skills, there are a lot of mistakes in special microbiology, especially in diagnostics of infections caused by anaerobes and hemofil. Most specialists poorly managed questions in immunology, clinical microbiology and quality of laboratory researchers. Our data should be important for the further adaptation and modernization of certificate test-questionnaires.

Bacteriology↗
PubMed1991

The development of the nephrology nursing certification program.

The certification examination for nephrology nurses was developed by the Nephrology Nursing Certification Board (NNCB) and the ANNA Certification Ad Hoc Committee with guidance from the National League for Nursing (NLN) Test Services. The development of a written examination is the continuing responsibility of the NNCB. This article provides a summary of the 3 years experience with the examination and focuses on the process of actual test construction: the organization, development, evaluation, and quality of test items.

Certification↗
PubMed1990

[Exercising care in filling out death certificates].

Death certificates of 1,432 dead persons being older than 1 year of the urban district of Gera (1987) were evaluated. 72.3% of the death certificates showed one or more mistakes. The average number of the mistakes was 1.8. The most numerous formal mistakes and such with regard to the contents were analyzed as well as conclusions were drawn for the further qualification of the coroner physicians and the improvement of filing in the death certificates.

Adolescent↗
PubMedDate not supplied

[Comparability of the data presented in the medical death certificate and the death rate statistics index].

It having been impossible to use the Death Rate Statistics Index for analyzing the death rate in the city of Seville for 1985 and this Index having been substituted by the Medical Death Certificate has lead us to carry out this study to compare the data reflected in these two documents and determine the extent to which the Medical Death Certificate conforms to the Death Rate Statistics Index, used officially, and its validity. The results show that both documents tally to a great degree, the DRSI providing somewhat more information with regard to the process leading up to the deaths, this having led us to decide to make the death rate analysis for 1985 in Seville by using the Medical Death Certificate as the document on which the information will be based.

Cause of Death↗
PubMedDate not supplied

Underlying causes of death in Down syndrome: accuracy of British Columbia death certificate data.

British Columbia (B.C.) provides an excellent opportunity to study the accuracy of assigning Underlying Cause of Death (UCOD) in Down syndrome. The study was designed to evaluate the effect of inappropriate interpretation of guidelines for completing the death certificate. All B.C. livebirths identified as having Down syndrome during the period 1952-1981 were collected from the records of the B.C. Health Surveillance Registry. Of the 1,337 affected individuals identified, 324 (24.2%) had died. The death certificates on these individuals were reviewed to assess from the information on the death certificate whether the underlying cause of death appeared to have been assigned in accordance to World Health Organization coding guidelines. The UCOD appeared to be assigned appropriately for 165/315 cases (52.4%). It is possible that in the situation where an easily recognizable condition such as Down syndrome is present, the need to identify the actual UCOD may be viewed as less urgent compared with cases where an apparently "normal" individual dies.

British Columbia↗
PubMed1990

The next step in the certification process: a challenge for the gastroenterology nurse and associate.

The achievement of specialty certification requires time, effort and commitment on the part of the candidate. Recognizing the expanded role of the gastroenterology nurse and associate has led to validation of the expertise and specialized knowledge by means of the two-discipline examinations. To the specialist the process of certification provides self-assessment and an ongoing mechanism for evaluation and accountability. Individuals have expressed the personal satisfaction in the achievement, the peer recognition and advanced career opportunities that certification has provided them.

Certification↗