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At least 883 records · Page 49Linked to original sources
PubMed2004

Usefulness of tobacco check boxes on death certificates: Texas, 1987-1998.

OBJECTIVES: We compared reports of deaths in which tobacco use was a contributing factor ("tobacco-associated deaths") before and after the addition to death certificates in Texas of a check-box question asking whether tobacco use contributed to an individual's death. METHODS: We examined Texas vital statistics files from 1987 to 1998. We calculated differences in percentages of reported tobacco-associated deaths (and 95% confidence intervals [CIs]) for the periods 1987 to 1992, before the addition of the check-box question, and 1993 to 1998, after the addition of the check-box. RESULTS: Reports of tobacco-associated deaths were significantly less frequent before addition of the check-box question (0.7%; 95% CI = 0.4%, 1.0%) than after addition of the question (13.9%; 95% CI = 13.0%, 14.7%). From 1993 to 1998, percentages of tobacco-associated deaths reported on the check-box question increased steadily. CONCLUSIONS: The addition of a tobacco-associated-death check box on Texas death certificates significantly increased reporting of tobacco use contributions to mortality.

Cause of Death↗
PubMed1988

Mortality from stroke among women in a Swedish community, Strömstad. Evaluation of data obtained from official death certificate registers broken down to the community level.

The present paper is an example of an active way of delivering primary health care. Data obtained from the Bureau of Central Statistics on mortality, based on death certificates during the years 1969-1978, were broken down to community level within the County of Göteborg and Bohus. A significantly increased total mortality was observed among women in the community of Strömstad in the northern part of the county, as well as an increased mortality from cardiovascular diseases, especially cerebrovascular diseases. Similar observations were made for the neighbouring communities. In order to evaluate the diagnoses stated in the death certificates, records from patients who died of cerebrovascular disease during the years 1970-1979 were studied. Out of 146 women in whom cerebrovascular disease was stated as main cause of death, it was possible to draw conclusions about diagnosis of death in 140. The vast majority of the subjects had correctly been given the diagnosis of cerebrovascular disease. Based on this "community diagnosis", a special preventive program has been started in the community of Strömstad.

Cardiovascular Diseases↗
PubMed1986

Death certificate and mortality in rheumatoid arthritis.

Patients with rheumatoid arthritis (RA), 500 males and 500 females, aged 40 years and over, together with an age- and sex-matched control population, were observed over a 10-year period. Altogether 208 male and 148 female RA patients died during the follow-up period. RA was mentioned on the death certificates of 111 men (53%) and for 96 women (65%). Serious underreporting of RA was observed when the main cause of death was malignant neoplasms and diseases of the circulatory system. The results show that analysis of the causes of death can be highly biased if the RA diagnosis is based only on information on the death certificate.

Adult↗
PubMedDate not supplied

Maintenance of certification for family physicians (MC-FP) self assessment modules (SAMs): the first year.

INTRODUCTION: In 2000, the American Board of Medical Specialties adopted Maintenance of Certification (MOC) to replace intermittent, periodic recertification. MOC consists of 4 components: demonstration of professionalism (part I); commitment to life-long learning (part II); demonstration of cognitive expertise (part III); and evaluation of performance in practice (part IV). The American Board of Family Medicine (ABFM) implemented Maintenance of Certification for Family Physicians (MC-FP) in 2004, with its MC-FP part II self-assessment modules (SAMs) as the focus of the first year's activities. METHODS: The SAMs use materials and resources provided at the ABFM's website (www.theabfm.org). As of April 2005, approximately 7000 Diplomates had successfully completed SAMs in essential hypertension (N = 2351) and type 2 diabetes mellitus (N = 4648). Participants completed categorical modified Likert scale evaluations to receive continuing education credit, and many offered unstructured free-text comments regarding the clinical simulation component. These free-text comments were entered into the AnSWR qualitative analysis program from the Centers for Disease Control and Prevention. Text coding was performed by 2 authors (MDH, DJI). As no inferential analyses or comparisons were anticipated, the authors conducted no studies of inter-rater consistency. Results are reported as means (SD) and medians for continuous data, and as frequencies for count data. RESULTS: Likert-scale ratings indicated generally favorable responses (predominantly 5 to 6 on a 6-point scale) to the hypertension and diabetes SAMs. In addition, over half (ie, 55% for hypertension and 54% for diabetes participants) of the respondents indicated that the experience would lead to changes in their practices. Navigation and system operation issues predominated in the free-text comments offered for the diabetes and hypertension simulations. CONCLUSION: The MC-FP SAMs received generally favorable ratings in the program's first year. The SAMs underwent a number of modifications and improvements during the first year, largely in response to feedback and suggestions from ABFM Diplomates.

Certification↗
PubMed1990

The gerontological nursing fellowship: a program to prepare registered nurses for national certification.

The aged population is expanding while the availability of nurses to care for hospitalized elderly people is shrinking. Additionally, care for older persons is complex, requiring specific knowledge. The gerontological nursing fellowship is an effort to assist professional nursing staff in meeting the quantitative and qualitative needs of aged patients as well as to prepare nurses for the ANA certification examination. Developed and coordinated by an ANA-certified, master's-prepared clinical nurse specialist, the program is unique in that it utilizes a didactic and clinical education format. The fellowship is expected to profoundly affect geriatric patient care outcome, prepare nurses for national certification, and enhance recruitment and retention of nurses.

Aged↗
PubMed1988

The relationship between educational preparation and performance on nursing certification examinations.

The purpose of this study was to investigate the empirical relationship between level of educational preparation and performance on certification examinations. Data from 12 different examinations administered by ANA in 1985 were available for a total sample of 12,308 RNs. Standardized effect sizes were computed for the following comparisons: baccalaureate vs. prebaccalaureate (associate degree and diploma), master's vs. baccalaureate, and master's vs. prebaccalaureate. Results were cumulated, averaged, and compared using meta-analytic procedures. The major finding was that effect sizes were consistently positive and statistically significant, indicating that nurses with more education generally obtain higher scores than those with less education. The present findings are discussed in the context of the widely known finding that baccalaureate candidates for RN licensure generally score lower than associate degree and diploma-prepared candidates on the RN licensure examination. It is suggested that the disparity in findings is not necessarily anomalous, given that licensure and certification serve very different functions.

American Nurses' Association↗
PubMed1986

Occupational risk factors for brain tumors. A case-referent death-certificate analysis.

Numerous studies have suggested that employment in the oil refining and chemical manufacturing industries may be associated with excess brain tumor risk. A case-referent study was undertaken to evaluate brain tumor risk by occupation and industry in three geographic areas (northern New Jersey, Philadelphia, and the Gulf Coast of Louisiana) with a heavy concentration of these industries. Seven hundred and eighteen white men dying from brain tumor at age 30 years or older were ascertained from death certificates for 1978-1981. The referents were men who died of other causes, excluding epilepsy and stroke. Usual occupation and industry were obtained from the death certificates, and the maximum likelihood estimates of the relative risk were calculated for specific industries and occupations. Small nonsignificant excess risks of brain tumors were seen among persons whose usual employment was in the petroleum refining, electrical equipment manufacturing, health services, and educational services industries. Compared with other white-collar professionals, health diagnosticians, teachers, and artists/designers had a significantly elevated brain tumor risk. Among blue-collar workers, the only group with a significantly elevated brain tumor risk was precision metal workers, who are exposed to metal dusts and fumes and substances used as coolants, lubricants, and degreasers.

Adult↗
PubMed1976

Necropsy as a control of death certification: some unexpected findings.

A comparison of death certificates and necropsy findings in a group of premenopausal women suggests that a number of diseases are either underdiagnosed in life. Atypical cases of intracerebral haemorrhage are frequently misdiagnosed. These occur in the frontal, temporal or parietal lobes in non-hypertensive women and may be suitable for surgical treatment. Their aetiology remains obscure. Pulmonary embolus is habitually underdiagnosed in premenopausal women and myocardial infarcts appear to be overdiagnosed. The study reemphasizes that death certificates are inaccurate and that low necropsy rates render accurate statistics of diseases in the community difficult ot obtain.

Adult↗
PubMed1996

Certification of transplant coordinators by the American Board of Transplant Coordinators.

Voluntary certification of transplant coordinators has taken place in the United States since 1988 and has operated under the auspices of the American Board of Transplant Coordinators since its formation in 1987. This article reviews the rationale for development of a certification process, how the examinations were developed and are updated, eligibility to take the examination, and relationship with standards of practice for transplant coordinators.

Certification↗
PubMed2004

Performance of military-trained physician assistants on the physician assistant national certification examination.

Although the first physician assistant (PA) program was born at a civilian academic institution, the impact of the military was immediately obvious as evidenced by the entire first class of PA students being Vietnam veteran Navy Corpsmen. Following initiation of the PA profession, the armed services established their own PA training programs that were eventually consolidated into a single interservice program in 1996. The mission of the Interservice PA Program is to produce high-quality PAs prepared to provide medical care in not only the traditional clinical arena but in the more unique situations seen in both peacetime and wartime military settings. PAs must complete an approved formal training program encompassing didactic and clinical training and pass a national certification examination to be licensed to practice. Pass rates are a key measure of the quality of a training program. We compared the national certification examination pass rates for our program with those of accredited civilian programs. Graduates of our program had a significantly higher pass rate and higher average scores than their civilian counterparts. These results are due to the strength of the program and faculty as well as the considerable hard work and dedication of the students who are drawn from a community that is, in many ways, non-traditional compared with other PA programs. These results demonstrate that the military training of PAs continues to provide high-quality health care providers who perform above their civilian-trained counterparts.

Certification↗
PubMed1978

Training and certification of clinical microbiologists.

Microbiologists are being effectively absorbed into the labor market. As a group they have a considerably lower unemployment rate (1.2%) than the national average. This is also applicable to medical and clinical microbiologists. Certification of microbiologists by nationally recognized certifying organizations is standardized for those with bachelor's or master's degrees. For those with doctorate degrees there are inconsistencies of postdoctoral training requirements and of reciprocal recognition of the two major certifying organizations. Bilateral reciprocal recognition of board-certified doctoral-level microbiologists is vital for meeting manpower needs. Improved and equitable certification could be achieved by maintaining an adequate number of funded, approved training programs in medical and clinical microbiology and augmenting them with uniform continuing medical education programs designed to meet the requirements for periodic recertification.

Certification↗
PubMed1992

Preparing for Medicare hospice benefit certification.

When the Visiting Nurse Association of Central Illinois staff began to investigate Medicare Hospice Benefit Certification, they had to start from scratch. In this first-person account, they share their experience and valuable informational shortcuts to help others streamline their process and assure adequate preparation for the certification survey and subsequent operation.

Certification↗
PubMed1993

Quality standards and certification requirements for mammography facilities--FDA. Interim rule with request for comments.

The Food and Drug Administration (FDA) is issuing regulations to implement the Mammography Quality Standards Act of 1992 (the MQSA), which requires the establishment of a Federal certification and inspection program for mammography facilities; regulations and standards for accrediting bodies for mammography facilities; and standards for mammography equipment, personnel, and practices, including quality assurance. This rule establishes requirements for certification of mammography facilities, including quality standards for mammography. This action is being taken to assure safe, accurate, and reliable mammography on a nationwide basis. The agency requests comments on the contents of this document.

Ambulatory Care Facilities↗
PubMed1994

Supplier certification for health care.

Supplier certification is an ongoing, formalized improvement process between a customer and a supplier. Ideally, suppliers and healthcare organizations will become extensions of one another, allowing for achievement of significant quality improvement over the long haul. There are six steps to implementing the process: 1) learning the process, 2) building a team, 3) defining objectives, 4) identifying evaluative criteria, 5) developing a measurement system and 6) selecting suppliers. For different levels of certification--defined by specific criteria--the customer receives more benefits and the supplier receives larger incentives.

Certification↗
PubMed1998

Removal of regulations regarding certification of drugs composed wholly or partly of insulin--FDA. Direct final rule.

The Food and Drug Administration (FDA) is repealing its regulations governing certification of drugs containing insulin and making conforming amendments to other sections of its regulations. The agency is taking this action in accordance with provisions of the Food and Drug Administration Modernization Act of 1997 (FDAMA). FDAMA repealed the statutory provision in the Federal Food, Drug, and Cosmetic Act (the act) under which the agency certified drugs containing insulin. FDAMA also made conforming amendments to the act. FDA is using direct final rulemaking for this action because the agency expects that there will be no significant adverse comment on the rule. Most of the amendments in this rule are a direct result of the repeal of the statutory certification provision. The remainder of the amendments repeal or update out-of-date, noncontroversial regulations dealing with insulin. Elsewhere in this issue of the Federal Register, FDA is publishing a companion proposed rule under FDA's usual procedure for notice-and-comment rulemaking to provide a procedural framework to finalize the rule in the event the agency receives significant adverse comments and withdraws this direct final rule.

Certification↗
PubMed1980

Public Health Service--Health systems agency and state health planning and development agency reviews: certificate of need programs. Final regulation.

These rules amend the Public Health Service regulations on health systems agency and State health planning and Development agency (State Agency) certificate of need reviews. These final regulations implement changes to Title XV of the Public Health Service Act made by the Health Planning and Resources Development Amendments of 1979 (Pub L. 96-79). Under the amended provisions of the Public Health Service Act, the planning agencies are required to review and determine the need for proposed capital expenditures, institutional health services and major medical equipment. These regulations set forth the minimum requirements for satisfactory certificate of need programs.

Certificate of Need↗
PubMed1982

Pharmaceutical services in long-term care facilities: a certificate approach to teaching skills.

The University of Tennessee College of Pharmacy has developed a certificate program for Pharmaceutical Services in Long-Term Care Facilities. Pharmacists who are required to provide such services generally have had minimal experience in doing so. The certificate is composed of six home-study courses, a researched paper, and an on-site clerkship experience. Each pharmacist is evaluated for his or her mastery of the material at regular intervals. The program is designed to be completed in 6 months.

Certification↗
PubMed1989

A guide to HFMA's certification process.

HFMA's professional certification process offers members a way to demonstrate their expertise in patient accounts management or healthcare financial management. Marsha L. Morien, FHFMA, CMPA, is chairman of HFMA's Board of Examiners, the group that oversees the certification activities. In the following interview, Morien explains the steps in the process and offers advice for members preparing to become certified.

Certification↗