109 results on '"Professional Staff Committees"'
Search Results
2. Overview of literature monitoring practice of clinical trials vigilance units in French institutional sponsors - A study from the REVISE working group.
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Prioul A, Fournier D, Lefeuvre C, Duranton S, Olivier P, Blanc E, Peyro-Saint-Paul L, Ruault S, Jamet A, and Mouchel C
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- Humans, Risk Assessment, France, Clinical Trials as Topic standards, Professional Staff Committees
- Abstract
Introduction: The evaluation of clinical trial (CT) safety is the main task of CT vigilance units. In addition to the management of adverse events, the units must review the literature to identify information that may impact the benefit-risk assessment of studies. In this survey, we investigated the literature monitoring (LM) activity of French Institutional Vigilance Units (IVU) from the working group "REflexion sur la VIgilance et la SEcurite des essais cliniques" (REVISE)., Material and Methods: We sent a questionnaire of 26 questions, divided into four themes, to the 60 IVU: (1) Presentation of the IVU and the LM activity; (2) Used sources, queries and criteria for selecting articles; (3) Valuation of the LM and (4) Practical organisation., Results: Of the 27 IVU that responded to the questionnaire, 85% of them carried out LM. This was mainly provided by medical staff to improve general knowledge (83%), to detect Adverse Reactions (AR) not listed in the reference documents (70%) and to detect new safety information (61%). Due to lack of time, staff, available recommendations and sources, only 21% of IVU conducted LM for all CT. On average, units reported four sources: ANSM information (96%), PubMed database (83%), EMA alerts (57%) and the subscription to APM international (48%). The LM had an impact on the CT of 57% of the IVU such as changing the conditions of a study (39%) or suspending a study (22%)., Discussion/conclusion: LM is an important but time-consuming activity with heterogeneous practices. According to the results of this survey, we proposed seven ways to improve this practice: (1) Target the highest risk CT; (2) Refine the PubMed queries; (3) Use other tools; (4) Create a decision flowchart for the selection of PubMed articles; (5) Improve training; (6) Value the activity and (7) Outsource the activity., (Copyright © 2023 Société française de pharmacologie et de thérapeutique. Published by Elsevier Masson SAS. All rights reserved.)
- Published
- 2023
- Full Text
- View/download PDF
3. Ações da comissão de controle de infecção hospitalar no enfretamento do novo coronavírus SARS-CoV-2
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Santos, Nathalia Marinho dos, Freitas, Ewelly Roberta Luna de, Coelho, Gislayne de Santana Barbosa, and Pereira, Emanuela Batista Ferreira e
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Coronavírus ,Programa de controle de infecção hospitalar ,Coronavirus ,Comitê de profissionais ,COVID-19 ,Programa de control de infecciones hospitalarias ,Hospital infection control program ,Professional Staff Committees - Abstract
Introduction: With an unknown scenario in the face of the pandemic and the uncertainties on the part of the population and health professionals, doubts have arisen, growing inside and outside health institutions, thus generating a need for systematic and effective action by the control committee of hospital infection (CCIH) in the search for strategies for the reorganization of the units, decision making, elaboration of protocols and training for the health team. Objective: To verify in national and international publications, the main measures and actions implemented by the hospital infection control commission in the face of the new SARS-CoV-2 Coronavirus. Methodology: This is an integrative literature review, produced from the analysis of articles in the Virtual Health Library (VHL), in the following databases: Latin American and Caribbean Literature on Health Sciences (LILACS), Library of Medicine of the United States of America (MEDLINE), Nursing Database (BDENF). Discussion: After carrying out an analytical reading, 08 articles were selected, as they had content that contributed to the development of the study, from the articles found in the databases. With this, it was possible to identify the actions carried out by the hospital infection control commission. Conclusion: The performance of the CCIH is extremely important in the face of the pandemic, and it was challenging for professionals due to the lack of preparation, providing a strategic look so that operational and managerial actions can be organized, prioritized and implemented in a unison. Introducción: Con un escenario desconocido ante la pandemia y las incertidumbres por parte de la población y los profesionales de la salud, han surgido dudas, creciendo dentro y fuera de las instituciones de salud, generando así la necesidad de una actuación sistemática y eficaz por parte del comité de control de infección hospitalaria (CCIH) en la búsqueda de estrategias para la reorganización de las unidades, toma de decisiones, elaboración de protocolos y capacitación del equipo de salud. Objetivo: Verificar en publicaciones nacionales e internacionales, las principales medidas y acciones implementadas por la comisión de control de infecciones hospitalarias frente al nuevo Coronavirus SARS-CoV-2. Metodología: Se trata de una revisión integrativa de la literatura, producida a partir del análisis de artículos de la Biblioteca Virtual en Salud (BVS), en las siguientes bases de datos: Literatura Latinoamericana y del Caribe en Ciencias de la Salud (LILACS), Biblioteca de Medicina de los Estados Unidos de América (MEDLINE), Base de datos de enfermería (BDENF). Discusión: Después de realizar una lectura analítica, de los artículos encontrados en las bases de datos, se seleccionaron 08 artículos, por tener contenido que contribuyera al desarrollo del estudio. Con ello, fue posible identificar las acciones realizadas por la comisión de control de infecciones hospitalarias. Conclusión: La actuación del CCIH es sumamente importante frente a la pandemia, y fue un desafío para los profesionales por la falta de preparación, brindando una mirada estratégica para que las acciones operativas y gerenciales puedan ser organizadas, priorizadas e implementadas al unísono. Com um cenário desconhecido frente à pandemia e as incertezas por parte da população e dos profissionais de saúde foram-se apresentando dúvidas, crescentes dentro e fora das instituições de saúde, gerando assim uma necessidade de atuação sistemática e eficaz da comissão de controle de infecção hospitalar (CCIH) na busca de estratégias para a reorganização das unidades, tomadas de decisões, elaboração de protocolos e treinamentos para equipe de saúde. Objetivo: Verificar nas publicações nacionais e internacionais, as principais medidas e ações implementadas pela comissão de controle de infecção hospitalar no enfrentamento do novo Coronavírus SARS-CoV-2. Metodologia: Trata-se de uma revisão integrativa da literatura, produzida a partir da análise de artigos na Biblioteca Virtual da Saúde (BVS), nas seguintes bases de dados: Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), Biblioteca Nacional de Medicina dos Estados Unidos da América (MEDLINE), Base de Dados de Enfermagem (BDENF). Discussão: Após a realização de uma leitura analítica, foram selecionados 08 artigos, por possuírem conteúdos contribuintes para o desenvolvimento do estudo, dos artigos encontrados nas bases de dados. Com isso foi possível identificar as ações realizadas pela comissão de controle de infecção hospitalar. Conclusão: A atuação da CCIH é de extrema importância diante da pandemia, e foi desafiadora para os profissionais devido à falta de preparo, proporcionando um olhar estratégico para que as ações operacionais e gerenciais possam ser organizadas, priorizadas e implantadas de forma uníssona.
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- 2022
4. IMPLEMENTATION AND IMPLANTATION OF THE SYSTEMATIZATION OF NURSING ASSISTANCE.
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Muniz de Alencar, Isabele Gouveia, Sá Nunes, Vanicleide, de Sousa Alves, Audimar, Ribeiro Lima, Sâmia Letícia, Muniz de Melo, Giselle Karine, and Filgueiras dos Santos, Maria América
- Abstract
Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2018
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5. Causes of Blindness in Adults in Southern Turkey According to Health Committee Reports
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Mine Karahan and Atılım Armağan Demirtaş
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Adult ,Male ,medicine.medical_specialty ,Adolescent ,Turkey ,genetic structures ,Visual impairment ,visual impairment ,Glaucoma ,low vision ,Professional Staff Committees ,Young Adult ,Age Distribution ,Atrophy ,Ophthalmology ,Prevalence ,medicine ,Humans ,epidemiology of visual impairment ,In patient ,Sex Distribution ,Retrospective Studies ,Blindness ,business.industry ,Corneal opacity ,Middle Aged ,RE1-994 ,medicine.disease ,eye diseases ,Trachoma ,Medicine ,Female ,Original Article ,sense organs ,medicine.symptom ,Phthisis bulbi ,business ,Visually Impaired Persons ,blindness - Abstract
Objectives: To reveal the causes of blindness in patients who applied to the medical board of a hospital serving the Southeastern Anatolian region of Turkey. Materials and Methods: We retrospectively reviewed the records of 340 bilaterally blind patients who were among 3,234 patients referred to our hospital’s medical board between March 2016 and November 2018 for disability evaluation and rating report. Results: One-hundred sixty (48.8%) were female, 174 (51.2%) were male, and the mean patient age was 64.3±25.4 years. The most common cause of blindness was cataract in 158 eyes (23.2%), followed by corneal opacities in 114 eyes (16.8%), retinal dystrophy in 92 eyes (13.5%), optic atrophy in 73 eyes (10.7%), glaucoma in 65 eyes (9.6%), and phthisis bulbi in 59 eyes (8.7%). Conclusion: Avoidable causes of blindness such as cataract and corneal opacity (secondary to trachoma) were detected at high rates. Therefore, we believe that more awareness and effort might be required in our region to reduce avoidable blindness due to these causes.
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- 2021
6. Treating cancer patients in times of COVID-19 pandemic: A virtual women cancers multidisciplinary meeting experience
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Elie Nasr, Nadine El Kassis, Hampig Raphael Kourie, Christine Salem, Abir Khaddage, David Atallah, and Ronaldo Elkaddoum
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Cancer Research ,medicine.medical_specialty ,2019-20 coronavirus outbreak ,Coronavirus disease 2019 (COVID-19) ,Attitude of Health Personnel ,Genital Neoplasms, Female ,Pneumonia, Viral ,Medical Oncology ,Article ,Professional Staff Committees ,Tertiary Care Centers ,Betacoronavirus ,User-Computer Interface ,Multidisciplinary approach ,Pandemic ,Humans ,Medicine ,Radiology, Nuclear Medicine and imaging ,Interdisciplinary communication ,Disease management (health) ,Pandemics ,Computer Security ,Patient Care Team ,SARS-CoV-2 ,business.industry ,COVID-19 ,Disease Management ,Cancer ,Hematology ,General Medicine ,medicine.disease ,Oncology ,Radiology Nuclear Medicine and imaging ,Family medicine ,Quarantine ,Videoconferencing ,Female ,Interdisciplinary Communication ,France ,Coronavirus Infections ,business ,Confidentiality - Published
- 2020
7. HOSPITAL COMMITTEES FOR THE PREVENTION OF MATERNAL MORTALITY IN FORTALEZA: PROFILE AND FUNCTIONING.
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do Prado Cruz, Helânia, Fraxe Pessoa, Sarah Maria, Tavares Machado, Márcia Maria, Feitosa, Helvécio Neves, and Costa Carvalho, Francisco Herlânio
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MATERNAL mortality ,MATERNAL age ,HIGH-risk pregnancy ,PREVENTION - Abstract
Copyright of Revista Brasileira em Promoção da Saúde is the property of Revista Brasileira em Promocao da Saude and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2015
8. COMITÊS HOSPITALARES DE PREVENÇÃO DE MORTE MATERNA EM FORTALEZA: PERFIL E FUNCIONAMENTO.
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do Prado Cruz, Helânia, Fraxe Pessoa, Sarah Maria, Tavares Machado, Márcia Maria, Feitosa, Helvécio Neves, and Costa Carvalho, Francisco Herlânio
- Abstract
Copyright of Revista Brasileira em Promoção da Saúde is the property of Revista Brasileira em Promocao da Saude and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2015
- Full Text
- View/download PDF
9. Response to the Coronavirus Disease 2019 Pandemic by the Spine Division at a Level-I Academic Referral Center
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Brandon D. Lawrence, Darrel S. Brodke, Graham J. DeKeyser, and Charles L. Saltzman
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Telemedicine ,Operating Rooms ,Personnel Staffing and Scheduling ,Disease ,Occupational safety and health ,Professional Staff Committees ,03 medical and health sciences ,0302 clinical medicine ,Intervention (counseling) ,Occupational Exposure ,Health care ,Pandemic ,Medicine ,Humans ,Orthopedics and Sports Medicine ,Orthopedic Procedures ,Occupational Health ,030222 orthopedics ,Academic Medical Centers ,business.industry ,SARS-CoV-2 ,Patient Selection ,COVID-19 ,030229 sport sciences ,medicine.disease ,Triage ,Orthopedics ,Elective Surgical Procedures ,Surgery ,Spinal Diseases ,Medical emergency ,business ,Elective Surgical Procedure - Abstract
Coronavirus disease 2019 (COVID-19) has rapidly become a ubiquitous health concern and a global pandemic. In an effort to slow disease spread and protect valuable healthcare resources, cessation of non-essential surgery including many orthopaedic procedures, has recently become commonplace in areas affected by the novel coronavirus. This crisis has created a unique situation in the care of spine patients as we must balance the urgency of patient evaluation, surgical intervention, and continued training against the risk of disease exposure and resource management.The Spine division of an Orthopaedic Surgery Department at a tertiary care and academic center has taken an active role in enacting protocol changes in anticipation of COVID-19. In the past four weeks, since these changes were enacted, the Spine division has performed ten surgeries compared to an average of 60.4 spine cases performed annually over the same time period between 2015-2019. Furthermore, the number of clinic visits decreased from an average of 417.4 over this time period, to 322 with the percentage of new patient visits decreasing from 28% to 20%. During COVID-19, 318 of the 322 spine clinic visits were performed remotely via telehealth.The response to COVID-19 has been variable among surgical subspecialties and geographic regions. We present the changes that have been made regarding the care of spine patients at a busy academic center. Although these changes have been forced upon us by necessity, we feel that our division and department will emerge in a more responsive, agile and stronger state. As we look to the coming months and beyond, it will be important to continue to adapt to the changing landscape during unprecedented times.
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- 2020
10. The Orthopaedic Political Action Committee: Growth and Influence Over 20 Years
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Brett A. Freedman, Ronald E. Delanois, Jacob G. Calcei, Claudette M. Lajam, and John T. Gill
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medicine.medical_specialty ,Musculoskeletal care ,Time Factors ,education ,organization ,Political action committee ,Professional Staff Committees ,Health care ,medicine ,Humans ,Orthopedics and Sports Medicine ,Health policy ,Societies, Medical ,Medical education ,business.industry ,Health Policy ,food and beverages ,Legislature ,Orthopedic Surgeons ,humanities ,United States ,organization.type ,Orthopedics ,Federal level ,Orthopedic surgery ,Surgery ,business - Abstract
The Political Action Committee (PAC) of the American Association of Orthopaedic Surgeons, also known as the OrthoPAC, is one of the most powerful and well-respected healthcare PACs in Washington, DC. Since its inception in 1999, the OrthoPAC has advocated at the federal level for orthopaedic patients and orthopaedic surgery as a profession. This manuscript will familiarize the reader with PACs, the history and structure of the OrthoPAC, important accomplishments of the OrthoPAC, current legislative positions, and leadership/organization. We also review the various ways that orthopaedic surgeons can engage in advocacy for musculoskeletal care.
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- 2020
11. Preliminary pragmatic lessons from the SARS-CoV-2 pandemic in France
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Olivier Langeron, T. Gauss, Jean-Michel Constantin, Olivier Joannes-Boyau, Pierre Pasquier, Pierre Bouzat, Julien Pottecher, Université Paris Cité (UPCité), Hôpital Beaujon [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Hôpital d'instruction des Armées Percy, Service de Santé des Armées, Hôpital d'Instruction des Armées du Val de Grâce, Magellan Medico-Surgical Center [Bordeaux], CHU Bordeaux [Bordeaux], CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Hôpital Henri Mondor, Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12), CHU Grenoble, Université Grenoble Alpes (UGA), Les Hôpitaux Universitaires de Strasbourg (HUS), Fédération de Médecine Translationnelle de Strasbourg (FMTS), Université de Strasbourg (UNISTRA), Université de Paris (UP), IMRB - PROTECT/'Pharmacologie et Technologies pour les Maladies Cardiovasculaires' [Créteil] (U955 Inserm - UPEC), Institut Mondor de Recherche Biomédicale (IMRB), Institut National de la Santé et de la Recherche Médicale (INSERM)-IFR10-Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12)-Institut National de la Santé et de la Recherche Médicale (INSERM)-IFR10-Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12), Service d'Anesthésie-Réanimation, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Beaujon [AP-HP], and Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université de Paris (UP)
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surge capacity ,[SDV]Life Sciences [q-bio] ,Critical Care and Intensive Care Medicine ,Health Services Accessibility ,Professional Staff Committees ,0302 clinical medicine ,Professional-Family Relations ,Pandemic ,Medicine ,Bed Conversion ,030212 general & internal medicine ,Surge Capacity ,General Medicine ,Continuity of Patient Care ,Checklist ,3. Good health ,Practice Guidelines as Topic ,Workforce ,France ,Patient Safety ,Coronavirus Infections ,Next of kin ,Health Personnel ,Pneumonia, Viral ,Disaster Planning ,World Health Organization ,Article ,03 medical and health sciences ,Patient safety ,Betacoronavirus ,Nursing ,Intensive care ,Humans ,Human resources ,Pandemics ,Health Services Needs and Demand ,business.industry ,SARS-CoV-2 ,pandemic ,COVID-19 ,Social Support ,030208 emergency & critical care medicine ,Triage ,critical care ,Anesthesiology and Pain Medicine ,recommendations ,Interdisciplinary Communication ,business - Abstract
International audience; The first wave of the SARS-CoV-2 pandemic required an unprecedented and historic increase in critical care capacity on a global scale in France. Authors and members from the ACUTE and REANIMATION committees of the French Society of Anaesthesia and Intensive Care (SFAR) wished to share experience and insights gained during the first weeks of this pandemic. These were summarised following the World Health Organization Response Checklist and detailed according to the subsequent subheadings: 1. Command and Control, 2. Communication, 3. Safety and Security, 4. Triage, 5. Surge Capacity, 6. Continuity of essential services, 7. Human resources, 8. Logistics and supply management, 9. Training/Preparation, 10. Psychological comfort for patients and next of kin, 11. Learning and 12. Post disaster recovery. These experience-based recommendations, consensual across all members from both committees of our national society, establish a practical framework for medical teams, either spared by the first wave of severe COVID patients or preparing for the second one.
- Published
- 2020
12. Conventional Cytogenetic Analysis of Hematologic Neoplasms: A 20-Year Review of Proficiency Test Results From the College of American Pathologists/American College of Medical Genetics and Genomics Cytogenetics Committee
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Hutton M. Kearney, Catherine Rehder, Daniel P. Larson, Gordana Raca, Guilin Tang, Rhett P. Ketterling, Yassmine Akkari, Daniel L. Van Dyke, Reha M. Toydemir, Laura K. Conlin, Michelle M Dolan, Jess F. Peterson, Jun Gu, Jason A. Yuhas, Kathleen Kaiser-Rogers, Juli Anne Gardner, and Penny Eagle
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0301 basic medicine ,medicine.medical_specialty ,Pediatrics ,Laboratory Proficiency Testing ,Genetics, Medical ,Karyotype ,Genomics ,Hematologic Neoplasms ,Pathology and Forensic Medicine ,Professional Staff Committees ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Humans ,Clinical significance ,Grading (tumors) ,American Medical Association ,Chromosome Aberrations ,business.industry ,Cytogenetics ,General Medicine ,United States ,Pathologists ,Medical Laboratory Technology ,030104 developmental biology ,030220 oncology & carcinogenesis ,Cytogenetic Analysis ,Medical genetics ,Abnormality ,business - Abstract
Context.— One goal of the joint College of American Pathologists/American College of Medical Genetics and Genomics Cytogenetics Committee is to ensure the accurate detection and description of chromosomal abnormalities in both constitutional and neoplastic specimens, including hematologic neoplasms. Objective.— To report a 20-year performance summary (1999–2018) of conventional chromosome challenges focusing on hematologic neoplasms. Design.— A retrospective review was performed from 1999 through 2018 to identify karyotype challenges specifically addressing hematologic neoplasms. The overall performance of participants was examined to identify potential recurring errors of clinical significance. Results.— Of 288 total conventional chromosome challenges from 1999–2018, 87 (30.2%) were presented in the context of a hematologic neoplasm, based on the provided clinical history, specimen type, and/or chromosomal abnormalities. For these 87 hematologic neoplasm challenges, 91 individual cases were provided and graded on the basis of abnormality recognition and karyotype nomenclature (ISCN, International System for Human Cytogenomic [previously Cytogenetic] Nomenclature). Of the 91 cases, 89 (97.8%) and 87 (95.6%) exceeded the required 80% consensus for grading of abnormality recognition and correct karyotype nomenclature, respectively. The 2 cases (2 of 91; 2.2%) that failed to meet the 80% consensus for abnormality recognition had complex karyotypes. The 4 cases (4 of 91; 4.4%) that failed to meet the 80% consensus for correct karyotype nomenclature were the result of incorrect abnormality recognition (2 cases), missing brackets in the karyotype (1 case), and incorrect breakpoint designation (1 case). Conclusions.— This 20-year review demonstrates clinical cytogenetics laboratories have been and continue to be highly proficient in the detection and description of chromosomal abnormalities associated with hematologic neoplasms.
- Published
- 2020
13. [COVID-19 impact on the cancer care structuration: Example of the multidisciplinary team meeting dedicated to oncology in Occitanie]
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Pascale, Grosclaude, David, Azria, Rosine, Guimbaud, Séverine, Thibault, Laetitia, Daubisse-Marliac, Guillaume, Cartron, Marie-José, Renaudie, Pierre-Adrien, Dalbies, Jean-Pierre, Delord, and Eric, Bauvin
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Pneumonia, Viral ,Efficiency ,Medical Oncology ,Article ,Professional Staff Committees ,Betacoronavirus ,Neoplasms ,Humans ,Quality of Care ,Multidisciplinary team meeting ,Pandemics ,Patient Care Team ,SARS-CoV-2 ,Qualité de la prise en charge ,COVID-19 ,Hospital Records ,Work Engagement ,Cancérologie ,Oncology ,Practice Guidelines as Topic ,SARS-CoV2 ,Committee Membership ,Interdisciplinary Communication ,France ,Guideline Adherence ,Réunion de concertation pluridisciplinaire ,Coronavirus Infections ,Tumor board - Abstract
Résumé Ce travail étudie l’impact de l’épidémie de SARS-CoV2 et des recommandations qui ont été diffusées depuis le 16 mars sur l’activité des réunions de concertations pluridisciplinaires (RCP). L’activité des RCP d’Occitanie a été mesurée à partir des fiches RCP extraites du dossier communicant de cancérologie qui regroupe toutes les RCP. L’activité précédant le confinement a été comparée à celles des périodes de confinement (jusqu’au 24 avril) et des périodes équivalentes en 2019. Les critères de jugement étaient le nombre de réunions tenues, le nombre moyen de dossiers examinés par réunion, dont les premières présentations, et le nombre moyen de médecins présents. Les 191 RCP ont organisé 3943 réunions et étudié 72 070 dossiers (dont 30 127 premières soumissions). Nous avons observé une baisse de 8 % du nombre de réunions après le confinement. Le nombre de dossiers examinés a diminué de 23 % dans le mois suivant et jusqu’à 33 % dans la troisième quinzaine. Le nombre de médecins participant aux réunions a diminué initialement de 25 %. L’impact a été plus important dans la partie méditerranéenne de la région. Cette première étude à l’échelle d’une région montre que si l’impact de l’épidémie sur le nombre de RCP qui se sont réunies a été modeste, et que les RCP ont suivi les recommandations d’optimisation du quorum, la diminution du nombre de premières présentations laisse présager un retard au diagnostic et à la prise en charge des patients. Elle devra être complétée par des travaux qualitatifs et quantitatifs afin d’estimer l’impact réel de l’épidémie sur la prise en charge globale oncologique.
- Published
- 2020
14. Justice and health: The Lancet-Health Equity and Policy Lab Commission
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Jennifer Prah Ruger and Richard Horton
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Health Equity ,Health Policy ,MEDLINE ,General Medicine ,Commission ,Public administration ,Economic Justice ,Social justice ,Health equity ,Professional Staff Committees ,Social Justice ,Political science ,Humans ,Health policy - Published
- 2020
15. Nursing Comiittee to Coping with COVID-19 in Bahia
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Mariana de Almeida Moraes, Fernanda Carneiro Mussi, Handerson Silva Santos, and Tatiane Araújo-dos-Santos
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Coping (psychology) ,Coronavirus disease 2019 (COVID-19) ,Pneumonia, Viral ,RT1-120 ,MEDLINE ,Nursing ,Occupational safety and health ,Professional Staff Committees ,Betacoronavirus ,03 medical and health sciences ,Technical support ,0302 clinical medicine ,Nursing Assistants ,Humans ,030212 general & internal medicine ,Pandemics ,Intersectoral Collaboration ,Occupational Health ,General Nursing ,Motivation ,Contingency plan ,Pandemic ,030504 nursing ,SARS-CoV-2 ,COVID-19 ,Occupational Diseases ,Coronavirus ,Socioeconomic Factors ,Nursing Staff ,Coronavirus Infections ,0305 other medical science ,Psychology ,Working group ,Professionals’ Committee ,Brazil - Abstract
Objective: To report the experience of the Nursing Committee for Coping with COVID-19 in Bahia. Methods: The experience report describes motivation, objectives, representatives, organization, working groups, activities and impact of the Committee actions. Results: The Committee consists of educational institutions and class representation. It accepts demands, questions and complaints from nursing workers, acts in favor of safe care and inspection of health and safety conditions at work. Five working groups and six technical support groups were formed. These groups address Communication, Review of Health Services Contingency Plans, Assistance to Long-Term Institutions, Epidemiology and External Activities. An Instagram account was created for quick and reliable access to information, and also an email to meet demands and monitor COVID-19 cases. Conclusion: The results of the Committee work contribute to guide, support, value and defend nursing workers in coping with COVID-19
- Published
- 2020
16. The inner life and structure of ESHG
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Jerome del Picchia and Gunnar Houge
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Societies, Scientific ,Structure (mathematical logic) ,Computer science ,Human Genetics ,Computational biology ,Congresses as Topic ,History, 20th Century ,History, 21st Century ,Human genetics ,Professional Staff Committees ,Europe ,Perspective ,Workforce ,Genetics ,Humans ,Genetics (clinical) - Published
- 2017
17. From Mendel to Medical Genetics
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Milan Macek and Ulf Kristoffersson
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Societies, Scientific ,0301 basic medicine ,medicine.medical_specialty ,Genetics, Medical ,Genetic Counseling ,History, 20th Century ,030105 genetics & heredity ,History, 21st Century ,Data science ,Professional Staff Committees ,Europe ,03 medical and health sciences ,Specialty Boards ,Perspective ,Committee Membership ,Workforce ,Genetics ,medicine ,Humans ,Medical genetics ,Genetic Testing ,Sociology ,Genetics (clinical) - Published
- 2017
18. The Neurostimulation Appropriateness Consensus Committee (NACC) Safety Guidelines for the Reduction of Severe Neurological Injury
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Kayode Williams, Nagy Mekhail, David A. Provenzano, Porter McRoberts, Brian A. Simpson, Konstantin V. Slavin, Stanley Golovac, Eric Buchser, Robert M. Levy, Jeffrey E. Arle, Sam Eldabe, Philippe Rigoard, Timothy R. Deer, Jason E. Pope, Joshua M. Rosenow, Samer Narouze, Steven M. Falowski, Jose De Andres, Tim J. Lamer, and Shivanand P. Lad
- Subjects
medicine.medical_specialty ,Consensus ,Neurological injury ,medicine.medical_treatment ,Electric Stimulation Therapy ,Professional Staff Committees ,03 medical and health sciences ,Neural activity ,Patient safety ,0302 clinical medicine ,030202 anesthesiology ,Intervention (counseling) ,medicine ,Humans ,Intensive care medicine ,Neurostimulation ,Evidence-Based Medicine ,business.industry ,General Medicine ,Neuromodulation (medicine) ,Safety guidelines ,Neurologic injury ,Anesthesiology and Pain Medicine ,Neurology ,Practice Guidelines as Topic ,Physical therapy ,Neurology (clinical) ,Nervous System Diseases ,business ,030217 neurology & neurosurgery - Abstract
Introduction Neurostimulation involves the implantation of devices to stimulate the brain, spinal cord, or peripheral or cranial nerves for the purpose of modulating the neural activity of the targeted structures to achieve specific therapeutic effects. Surgical placement of neurostimulation devices is associated with risks of neurologic injury, as well as possible sequelae from the local or systemic effects of the intervention. The goal of the Neurostimulation Appropriateness Consensus Committee (NACC) is to improve the safety of neurostimulation. Methods The International Neuromodulation Society (INS) is dedicated to improving neurostimulation efficacy and patient safety. Over the past two decades the INS has established a process to use best evidence to improve care. This article updates work published by the NACC in 2014. NACC authors were chosen based on nomination to the INS executive board and were selected based on publications, academic acumen, international impact, and diversity. In areas in which evidence was lacking, the NACC used expert opinion to reach consensus. Results The INS has developed recommendations that when properly utilized should improve patient safety and reduce the risk of injury and associated complications with implantable devices. Conclusions On behalf of INS, the NACC has published recommendations intended to reduce the risk of neurological injuries and complications while implanting stimulators.
- Published
- 2017
19. The Neurostimulation Appropriateness Consensus Committee (NACC): Recommendations on Bleeding and Coagulation Management in Neurostimulation Devices
- Author
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Porter McRoberts, Robert M. Levy, Timothy R. Deer, Marc Russo, Konstantin V. Slavin, Nagy Mekhail, Jason E. Pope, Brian A. Simpson, David A. Provenzano, Kenneth M. Alo, Jonathan D. Carlson, Jeffrey E. Arle, Steven M. Falowski, Shivanand P. Lad, Honorio T. Benzon, Samer Narouze, and Julie G. Pilitsis
- Subjects
medicine.medical_specialty ,Consensus ,Neurological injury ,medicine.medical_treatment ,Best practice ,education ,Electric Stimulation Therapy ,Hemorrhage ,030204 cardiovascular system & hematology ,Patient care ,Professional Staff Committees ,Clinical expertise ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Humans ,Intensive care medicine ,Neurostimulation ,Evidence-Based Medicine ,business.industry ,Disease Management ,General Medicine ,Guideline ,Blood Coagulation Disorders ,Neuromodulation (medicine) ,Anesthesiology and Pain Medicine ,Neurology ,Expert opinion ,Anesthesia ,Neurology (clinical) ,business ,030217 neurology & neurosurgery - Abstract
Introduction The Neurostimulation Appropriateness Consensus Committee (NACC) was formed by the International Neuromodulation Society (INS) in 2012 to evaluate the evidence to reduce the risk of complications and improve the efficacy of neurostimulation. The first series of papers, published in 2014, focused on the general principles of appropriate practice in the surgical implantation of neurostimulation devices. The NACC was reconvened in 2014 to address specific patient care issues, including bleeding and coagulation. Methods The INS strives to improve patient care in an evidence-based fashion. The NACC members were appointed or recruited by the INS leadership for diverse expertise, including international clinical expertise in many areas of neurostimulation, evidence evaluation, and publication. The group developed best practices based on peer-reviewed evidence and, in the absence of specific evidence, on expert opinion. Recommendations were based on international evidence in accordance with guideline creation. Conclusions The NACC has recommended specific measures to reduce the risk of bleeding and neurological injury secondary to impairment of coagulation in the setting of implantable neurostimulation devices in the spine, brain, and periphery.
- Published
- 2017
20. [The gender gap in the editorial committees of Peruvian scientific journals]
- Author
-
Hugo, Arroyo-Hernández and Bertha, Huarez
- Subjects
Male ,Publishing ,Sex Factors ,Peru ,Humans ,Female ,Periodicals as Topic ,Editorial Policies ,Professional Staff Committees - Published
- 2019
21. [Experience feedback committees (CREX) in French radiotherapy departments in 2019]
- Author
-
S, Nardin and O, Dupont
- Subjects
Risk Management ,Health Care Surveys ,Advisory Committees ,Humans ,France ,Cancer Care Facilities ,Professional Staff Committees - Abstract
Ten years after the beginning of CREX in radiotherapy departments we wanted to know about users' feeling. We sent a survey to 168 centers in the whole country and a hundred of them answer. The time, top management's involvement and professionals' training seem to be the key success factors. Systemic analysis methods and mainly the Orion
- Published
- 2019
22. Risk factors associated with in-hospital falls reported to the Patient Safety Commitee of a teaching hospital
- Author
-
Silva, Adriane Kênia Moreira, da Costa, Dayane Carlos Mota, and Reis, Adriano Max Moreira
- Subjects
Adult ,Male ,medicine.medical_specialty ,lcsh:Medicine ,Professional Staff Committees ,03 medical and health sciences ,0302 clinical medicine ,Risk Factors ,Segurança do paciente ,Fall ,Humans ,Medicine ,030212 general & internal medicine ,Hospitals, Teaching ,Aged ,Retrospective Studies ,Gynecology ,Inpatients ,Fatores de risco ,business.industry ,lcsh:R ,Pharmaceutical preparations ,General Medicine ,Middle Aged ,Queda ,Patient safety ,Cross-Sectional Studies ,Near miss ,030220 oncology & carcinogenesis ,Near miss, healthcare ,Original Article ,Accidental Falls ,Female ,Drug therapy ,Preparações farmacêuticas ,business ,Tratamento farmacológico - Abstract
Objective To investigate the use of fall-risk-increasing drugs among patients with falls reported to the Patient Safety Office of a hospital, and to identify the factors associated with high risk for fall. Methods A cross-sectional study, carried out in a teaching hospital. The study population was the universe of fall reports received by the Patient Safety Office. The dependent variable was a high risk for falls. The Medication Fall Risk Score was used to measure fall risk. Descriptive, univariate and multivariate analyses were performed. Results Of the 125 fall reports in the study, 38 (30.4%) were in 2014, 26 (20.8%) in 2015, and 61 (48.8%) in 2016. Half of the patients (63; 50.4%) were classified as high fall risk and 74 (59.2%) had two or more risk factors for the event. The most frequently used drug classes were opioids (25%), anxiolytics (19.7%), beta-blockers (9.9%), angiotensin II antagonists (7%) and vascular-selective calcium channel blockers (7%). After the adjusted analysis, the factors associated with falls were amputation (odds ratio: 14.17), female sex (odds ratio: 2.98) and severe pain (odds ratio: 5.47). Conclusion Medications are an important contributor to in-hospital falls, and the Medication Fall Risk Score can help identify patients at a high risk for falls.
- Published
- 2019
23. Secretary Generals on recent ESHG presidents (2003–2015)
- Author
-
Gunnar Houge and Helena Kääriäinen
- Subjects
Societies, Scientific ,Human Genetics ,History, 21st Century ,Personnel Management ,Professional Staff Committees ,Management ,Europe ,Political science ,Human resource management ,Perspective ,Workforce ,Genetics ,Humans ,Genetics (clinical) - Published
- 2017
24. EuroGentest NoE, the ESHG, and genetic services
- Author
-
Jean-Jacques Cassiman
- Subjects
Societies, Scientific ,Genetic counseling ,MEDLINE ,Committee Membership ,Genetic Counseling ,History, 21st Century ,Professional Staff Committees ,Databases, Genetic ,Genetics ,medicine ,Humans ,Genetic Testing ,Genetics (clinical) ,Genetic testing ,Medical education ,medicine.diagnostic_test ,Historical Article ,Human Genetics ,History, 20th Century ,Human genetics ,Europe ,Perspective ,Workforce ,Psychology - Published
- 2017
25. The value of PAs in hospital medical staff governance
- Author
-
Sondra M. DePalma
- Subjects
Medical staff ,Corporate governance ,030204 cardiovascular system & hematology ,Nurse Assisting ,Professional Staff Committees ,03 medical and health sciences ,Patient safety ,0302 clinical medicine ,Physician Assistants ,Nursing ,Value (economics) ,Medical Staff, Hospital ,Humans ,030212 general & internal medicine ,Business ,Clinical Governance ,Patient Safety ,Quality of care ,Quality of Health Care - Abstract
Regulatory and accrediting standards require hospitals to have a medical staff responsible for quality of care, patient safety, and clinician self-governance. PAs are on about 20% of hospital medical staffs in the United States and the number is growing.
- Published
- 2018
26. [Food and nutrition liaison committees in healthcare facilities]
- Author
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Anthony, Mézière
- Subjects
Food Service, Hospital ,Malnutrition ,Humans ,Dietary Services ,Professional Staff Committees - Abstract
Since 2002, all healthcare facilities must have a food and nutrition liaison committee. The aim is to improve the management of food and nutrition related issues in hospital. The players concerned undertake a global and cross-disciplinary approach to ensure better food, notably for elderly patients at risk of protein-energy malnutrition.
- Published
- 2018
27. Building an Institutional Research Committee: Getting Started
- Author
-
Lisa A. Wolf and Kathleen Evanovich Zavotsky
- Subjects
030504 nursing ,030208 emergency & critical care medicine ,Emergency Nursing ,Public administration ,Professional Staff Committees ,03 medical and health sciences ,Nursing Research ,0302 clinical medicine ,Institutional research ,Political science ,Committee Membership ,Humans ,Organizational Objectives ,0305 other medical science - Published
- 2018
28. Does Your Forms Committee Need a Facelift? Standardizing Best Practices for HIM-focused Committees--A Case Study in the Physician Practice Setting
- Author
-
Edgar, Chou and Tami, Montroy
- Subjects
Health Information Management ,Models, Organizational ,Organizational Case Studies ,Humans ,Documentation ,Forms and Records Control ,Pennsylvania ,Professional Staff Committees - Published
- 2018
29. The European Board of Medical Genetics: development of a professional registration system in Europe
- Author
-
Heather Skirton
- Subjects
0301 basic medicine ,Societies, Scientific ,medicine.medical_specialty ,Specialty board ,Genetic counseling ,Genetics, Medical ,education ,Committee Membership ,Registration system ,Genetic Counseling ,030105 genetics & heredity ,History, 21st Century ,Professional Staff Committees ,03 medical and health sciences ,Political science ,Specialty Boards ,Genetics ,medicine ,Humans ,Genetic Testing ,health care economics and organizations ,Genetics (clinical) ,Genetic testing ,Medical education ,medicine.diagnostic_test ,History, 20th Century ,humanities ,Europe ,Perspective ,Workforce ,Medical genetics - Abstract
The European Board of Medical Genetics: development of a professional registration system in Europe
- Published
- 2018
30. The development and growth of EJHG 1995-2017
- Author
-
Gert-Jan B. van Ommen
- Subjects
0301 basic medicine ,Societies, Scientific ,Human Genetics ,030105 genetics & heredity ,Biology ,History, 20th Century ,History, 21st Century ,Organizational Policy ,Professional Staff Committees ,Europe ,03 medical and health sciences ,Development economics ,Perspective ,Genetics ,Workforce ,Humans ,Genetics (clinical) - Published
- 2018
31. The growth of the IFHGS after 2000
- Author
-
Jean-Jacques Cassiman
- Subjects
0301 basic medicine ,Societies, Scientific ,business.industry ,International Cooperation ,Human Genetics ,Biology ,History, 20th Century ,Data science ,History, 21st Century ,Professional Staff Committees ,03 medical and health sciences ,030104 developmental biology ,Text mining ,Perspective ,Genetics ,Committee Membership ,Workforce ,Humans ,business ,Genetics (clinical) - Published
- 2017
32. The development of the public and professional policy committee
- Author
-
Ségolène Aymé, Martina C. Cornel, APH - Quality of Care, APH - Personalized Medicine, Human genetics, and Amsterdam Reproduction & Development (AR&D)
- Subjects
Societies, Scientific ,High-Throughput Nucleotide Sequencing ,Human Genetics ,History, 20th Century ,History, 21st Century ,Human genetics ,Organizational Policy ,Professional Staff Committees ,Europe ,Political science ,Perspective ,Human Genome Project ,Practice Guidelines as Topic ,Genetics ,Workforce ,Humans ,Engineering ethics ,Databases, Nucleic Acid ,Genetics (clinical) - Published
- 2017
33. Improving blood transfusion practice by educational emphasis of the Blood Utilization Committee: Experience of one hospital
- Author
-
B. Gonzalez, E. Vrotsos, Gerald P Rosen, A. La Pietra, Lydia Howard, and Robert Goldszer
- Subjects
medicine.medical_specialty ,Pediatrics ,Medical staff ,Blood transfusion ,business.industry ,Health Personnel ,medicine.medical_treatment ,Biochemistry (medical) ,Clinical Biochemistry ,Hematology ,medicine.disease ,Hospitals ,Professional Staff Committees ,Blood Grouping and Crossmatching ,Cardiothoracic surgery ,Utilization Review ,Humans ,Medicine ,Blood Transfusion ,Medical emergency ,business ,Blood bank ,Retrospective Studies - Abstract
Aim The aim of this study was to reduce crossmatch to transfusion ratio through development of a new Blood Utilization Committee. Background Blood utilization hinges on the cooperation between transfusion services, medical staff, nursing and administration. Transfusion committees have attempted to bring about better oversight and bridge the gap between departments but in our institution this did not work until we had a catalyst to drive the effort. The unabashed desire and enthusiasm of one of our cardiac surgeons for self-improvement led to the formation of a new Blood Utilization Committee in October of 2012. Study design and methods Crossmatch and transfusion data were gathered from our blood bank information system starting with the 4th quarter of 2011 through the 1st quarter of 2013. The crossmatch to transfusion ratio (C:T) was calculated and comparisons were made between the results from before and after the initiation of the committee. Results At the commencement of the committee the initial C:T for the cardiac team was 2.48. We calculated a decrease of the C:T to 1.5 four months after the November 2012 formation of the new committee. The P -value calculated ( P Conclusion The initial impulse generated by the cardiothoracic surgery team is now spreading to other DRG groups in our hospital and we are seeing a drop in their C:T as well. Better blood utilization is attainable when the physicians who perform most transfusions lead the charge.
- Published
- 2015
34. Does the editorial committee still have a role to play?
- Author
-
Ola, Dale, Erik Magnus, Berntsen, Mette, Brekke, Anne, Høye, Ole-Erik, Iversen, Ane Brandtzæg, Næss, and Torben, Wisborg
- Subjects
Norway ,Humans ,Periodicals as Topic ,Editorial Policies ,Societies, Medical ,Professional Staff Committees - Published
- 2017
35. A Model for Incident Review Committees in Behavioral Health Settings
- Author
-
Mark J. Russ, Marlin R. Mattson, and Blaine S. Greenwald
- Subjects
Hospitals, Psychiatric ,Risk Management ,Knowledge management ,Quality management ,ComputingMilieux_THECOMPUTINGPROFESSION ,business.industry ,030503 health policy & services ,Review Committees ,Quality Improvement ,Professional Staff Committees ,03 medical and health sciences ,Psychiatry and Mental health ,0302 clinical medicine ,Nursing ,Component (UML) ,Key (cryptography) ,Medicine ,Humans ,030212 general & internal medicine ,0305 other medical science ,business ,GeneralLiterature_REFERENCE(e.g.,dictionaries,encyclopedias,glossaries) - Abstract
Despite the fact that incident review committees have been a key component of quality improvement in behavioral health settings for decades, specific models of how these committees are structured and operate are not well described. We present a model for an incident review committee that has been implemented in 2 large, academic acute care psychiatric hospitals. We believe the model not only permitted us to efficiently and effectively review untoward incidents, but that it also provided an approach to calibrating standards of care for the institution, engaging physicians in an interdisciplinary effort, promulgating a culture of quality review and improvement throughout the organization, promoting continuity and sustainability of the incident review process, and, most importantly, driving beneficial change in clinical practice. Demonstration of the effectiveness of this model requires formal investigation.
- Published
- 2017
36. Future considerations for clinical dermatology in the setting of 21st century American policy reform: The Relative Value Scale Update Committee
- Author
-
Howard P. Forman, Harrison P. Nguyen, Jean L. Bolognia, Scott A.B. Collins, and John S. Barbieri
- Subjects
Relative value ,medicine.medical_specialty ,Actuarial science ,business.industry ,Alternative medicine ,Physician services ,Dermatology ,Relative Value Scales ,United States ,Professional Staff Committees ,030207 dermatology & venereal diseases ,03 medical and health sciences ,0302 clinical medicine ,Resource (project management) ,Resource-based relative value scale ,Work (electrical) ,030220 oncology & carcinogenesis ,Medicine ,Current Procedural Terminology ,business ,Reimbursement ,Societies, Medical ,Forecasting - Abstract
The American Medical Association-Specialty Society Relative Value Scale Update Committee, also known as the RUC, plays a critical role in assessing the relative value of physician services and procedures. This committee provides access for all physicians, including dermatologists, to the reimbursement process. Since the introduction of the Resource-Based Relative Value Scale by Medicare, the RUC has done important work to evaluate and refine reimbursement for physician services. The RUC recommendations have also led the Current Procedural Terminology (CPT) Editorial Panel to develop additional reimbursement codes as new procedures and services are developed. In this article (from the series Future Considerations for Clinical Dermatology in the Setting of 21st Century American Policy Reform), we will review the RUC, including its history and membership, the RUC update process, and a brief discussion of a few issues of particular importance to dermatologists.
- Published
- 2017
37. Advancing Diagnostics to Address Antibacterial Resistance: The Diagnostics and Devices Committee of the Antibacterial Resistance Leadership Group
- Author
-
Robin Patel, Ritu Banerjee, Ephraim L. Tsalik, Jeffrey D. Klausner, Barry N. Kreiswirth, Scott R. Evans, Robert A. Bonomo, Elizabeth Petzold, Kimberly E. Hanson, and Ebbing Lautenbach
- Subjects
0301 basic medicine ,Microbiology (medical) ,030106 microbiology ,Supplement Articles ,Professional Staff Committees ,03 medical and health sciences ,0302 clinical medicine ,Sepsis ,Drug Resistance, Bacterial ,Medicine ,Molecular diagnostic techniques ,Humans ,030212 general & internal medicine ,Biological Specimen Banks ,business.industry ,Clinical Studies as Topic ,Bacterial Infections ,Anti-Bacterial Agents ,Leadership ,Infectious Diseases ,Antibacterial resistance ,Molecular Diagnostic Techniques ,Research Design ,Host-Pathogen Interactions ,Engineering ethics ,business ,Laboratories - Abstract
Diagnostics are a cornerstone of the practice of infectious diseases. However, various limitations frequently lead to unmet clinical needs. In most other domains, diagnostics focus on narrowly defined questions, provide readily interpretable answers, and use true gold standards for development. In contrast, infectious diseases diagnostics must contend with scores of potential pathogens, dozens of clinical syndromes, emerging pathogens, rapid evolution of existing pathogens and their associated resistance mechanisms, and the absence of gold standards in many situations. In spite of these challenges, the importance and value of diagnostics cannot be underestimated. Therefore, the Antibacterial Resistance Leadership Group has identified diagnostics as 1 of 4 major areas of emphasis. Herein, we provide an overview of that development, highlighting several examples where innovation in study design, content, and execution is advancing the field of infectious diseases diagnostics.
- Published
- 2017
38. Reducing overuse – is patient safety the answer?
- Author
-
Deborah Korenstein and Allison Lipitz-Snyderman
- Subjects
medicine.medical_specialty ,Multiple Sclerosis ,Alternative medicine ,Unnecessary Procedures ,Health Services Misuse ,01 natural sciences ,Medical care ,Article ,law.invention ,Professional Staff Committees ,03 medical and health sciences ,Patient safety ,0302 clinical medicine ,law ,medicine ,Humans ,030212 general & internal medicine ,Hospital patients ,0101 mathematics ,Quality of Health Care ,business.industry ,010102 general mathematics ,General Medicine ,Middle Aged ,medicine.disease ,CLARITY ,Female ,Medical emergency ,Patient Safety ,business - Abstract
In this issue of JAMA, Zapata and colleagues discuss framing the provision of unnecessary medical care as a patient safety problem and managing this problem using the hospital patient safety committee.1 The case presented highlights the lack of clarity about who is accountable for addressing overuse issues. All hospitals are concerned with the safety of their patients, and the authors provide a thoughtful discussion of the merits and challenges of using patient safety infrastructure to target overuse. To retain focus on safety issues while facilitating greater attention to overuse requires defining the relationship between overuse and patient safety.
- Published
- 2017
39. The Berlin 2016 process: a summary of methodology for the 5th International Consensus Conference on Concussion in Sport
- Author
-
Caroline F. Finch, Paul McCrory, Onutobor Omu, Kathryn J Schneider, Willem H. Meeuwisse, Jiri Dvorak, and K. Alix Hayden
- Subjects
Consensus ,Delphi Technique ,Process (engineering) ,Open format ,Poison control ,Physical Therapy, Sports Therapy and Rehabilitation ,Neuropsychological Tests ,Sports Medicine ,Professional Staff Committees ,03 medical and health sciences ,0302 clinical medicine ,Concussion ,medicine ,Humans ,Orthopedics and Sports Medicine ,030212 general & internal medicine ,Brain Concussion ,computer.programming_language ,Medical education ,business.industry ,Consensus conference ,Human factors and ergonomics ,030229 sport sciences ,General Medicine ,Congresses as Topic ,medicine.disease ,Berlin ,Systematic review ,Athletic Injuries ,business ,computer ,Delphi - Abstract
The purpose of this paper is to summarise the methodology for the 5th International Consensus Conference on Concussion in Sport. The 18 months of preparation included engagement of a scientific committee, an expert panel of 33 individuals in the field of concussion and a modified Delphi technique to determine the primary questions to be answered. The methodology also involved the writing of 12 systematic reviews to inform the consensus conference and submission and review of scientific abstracts. The meeting itself followed a 2-day open format, a 1-day closed expert panel meeting and two additional half day meetings to develop the Concussion Recognition Tool 5 (Pocket CRT5), Sport Concussion Assessment Tool 5 (SCAT5) and Child SCAT5.
- Published
- 2017
40. An international survey on the role of the hospital transfusion committee
- Author
-
Mark H, Yazer, Miguel, Lozano, Mark, Fung, Jose, Kutner, Michael F, Murphy, Torunn, Oveland Apelseth, Ryszard, Pogłód, Kathleen, Selleng, Alan, Tinmouth, Silvano, Wendel, and Vered, Yahalom
- Subjects
Hospitals, University ,Internationality ,Quality Assurance, Health Care ,Transfusion Medicine ,Surveys and Questionnaires ,Workforce ,Humans ,Blood Transfusion ,Product Labeling ,Professional Staff Committees ,Quality of Health Care - Abstract
Hospital transfusion committees (HTCs) can oversee all aspects of transfusion practice at a hospital. This survey sought to identify which quality variables were being reported at HTCs around the world.A working party composed of members of the Biomedical Excellence for Safer Transfusion (BEST) collaborative developed a survey of quality variables that could be potentially presented at HTC meetings. The survey was electronically sent to all BEST members who were encouraged to complete it if they were active on an HTC and to send it to other colleagues with similar experience. An expert panel was convened to determine which quality variables are the most important for review at HTC meetings.There were 121 respondents; the majority were from Europe (52%), Asia (19%), or North America (19%). Most respondents (68%) were at university hospitals. Of the 117 (97%) respondents with an HTC, the committee most often met quarterly (42%) and reviewed transfusion reactions (79%) and risk management-reported events (52%). The HTCs most commonly included transfusion medicine physicians, anesthesiologists, and other physicians who regularly transfuse blood products. Some of the most commonly reported quality variables included number of blood products transfused, wasted, and expired and the number of improperly labeled specimens. The expert panel analysis revealed that some variables that were deemed important were not being frequently reported at HTCs.There is variability in the variables being reported at HTCs around the world with some important variables not frequently reported.
- Published
- 2016
41. Clinical perspective: creating an effective practice peer review process-a primer
- Author
-
Steven L. Clark, Frances S. Louis, Manisha Gandhi, and Shae H. Wilson
- Subjects
media_common.quotation_subject ,education ,Medical malpractice ,Compliance (psychology) ,Professional Staff Committees ,03 medical and health sciences ,Patient safety ,0302 clinical medicine ,Medicine ,Humans ,Quality (business) ,030212 general & internal medicine ,Obstetrics and Gynecology Department, Hospital ,media_common ,Structure (mathematical logic) ,030219 obstetrics & reproductive medicine ,ComputingMilieux_THECOMPUTINGPROFESSION ,business.industry ,Obstetrics and Gynecology ,Review Committees ,Records ,Obstetrics ,Harm ,Gynecology ,Engineering ethics ,business - Abstract
Peer review serves as an important adjunct to other hospital quality and safety programs. Despite its importance, the available literature contains virtually no guidance regarding the structure and function of effective peer review committees. This Clinical Perspective provides a summary of the purposes, structure, and functioning of effective peer review committees. We also discuss important legal considerations that are a necessary component of such processes. This discussion includes useful templates for case selection and review. Proper committee structure, membership, work flow, and leadership as well as close cooperation with the hospital medical executive committee and legal representatives are essential to any effective peer review process. A thoughtful, fair, systematic, and organized approach to creating a peer review process will lead to confidence in the committee by providers, hospital leadership, and patients. If properly constructed, such committees may also assist in monitoring and enforcing compliance with departmental protocols, thus reducing harm and promoting high-quality practice.
- Published
- 2016
42. Commemoration of 15 years ESHG SPC member and chair from 2009 to 2016
- Author
-
Brunhilde Wirth
- Subjects
Societies, Scientific ,Library science ,Human Genetics ,Congresses as Topic ,History, 21st Century ,Professional Staff Committees ,Europe ,Political science ,Perspective ,Committee Membership ,Workforce ,Genetics ,Humans ,Genetics (clinical) - Published
- 2017
43. Conventional Cytogenetic Analysis of Hematologic Neoplasms: A 20-Year Review of Proficiency Test Results From the College of American Pathologists/American College of Medical Genetics and Genomics Cytogenetics Committee.
- Author
-
Larson DP, Akkari YM, Van Dyke DL, Raca G, Gardner JA, Rehder CW, Kaiser-Rogers KA, Eagle P, Yuhas JA, Gu J, Toydemir RM, Kearney H, Conlin LK, Tang G, Dolan MM, Ketterling RP, and Peterson JF
- Subjects
- American Medical Association, Cytogenetic Analysis, Genetics, Medical, Genomics, Hematologic Neoplasms genetics, Humans, Karyotype, Pathologists, Professional Staff Committees, United States, Chromosome Aberrations, Hematologic Neoplasms diagnosis, Laboratory Proficiency Testing statistics & numerical data
- Abstract
Context.—: One goal of the joint College of American Pathologists/American College of Medical Genetics and Genomics Cytogenetics Committee is to ensure the accurate detection and description of chromosomal abnormalities in both constitutional and neoplastic specimens, including hematologic neoplasms., Objective.—: To report a 20-year performance summary (1999-2018) of conventional chromosome challenges focusing on hematologic neoplasms., Design.—: A retrospective review was performed from 1999 through 2018 to identify karyotype challenges specifically addressing hematologic neoplasms. The overall performance of participants was examined to identify potential recurring errors of clinical significance., Results.—: Of 288 total conventional chromosome challenges from 1999-2018, 87 (30.2%) were presented in the context of a hematologic neoplasm, based on the provided clinical history, specimen type, and/or chromosomal abnormalities. For these 87 hematologic neoplasm challenges, 91 individual cases were provided and graded on the basis of abnormality recognition and karyotype nomenclature (ISCN, International System for Human Cytogenomic [previously Cytogenetic] Nomenclature). Of the 91 cases, 89 (97.8%) and 87 (95.6%) exceeded the required 80% consensus for grading of abnormality recognition and correct karyotype nomenclature, respectively. The 2 cases (2 of 91; 2.2%) that failed to meet the 80% consensus for abnormality recognition had complex karyotypes. The 4 cases (4 of 91; 4.4%) that failed to meet the 80% consensus for correct karyotype nomenclature were the result of incorrect abnormality recognition (2 cases), missing brackets in the karyotype (1 case), and incorrect breakpoint designation (1 case)., Conclusions.—: This 20-year review demonstrates clinical cytogenetics laboratories have been and continue to be highly proficient in the detection and description of chromosomal abnormalities associated with hematologic neoplasms., Competing Interests: Yuhas and Kearney coordinate the vendor series to the College of American Pathologists and receive royalties for this work. The other authors have no relevant financial interest in the products or companies described in this article.
- Published
- 2021
- Full Text
- View/download PDF
44. [Editorial: The French Guidelines from CTAFU, narrative or systematic review?]
- Author
-
Timsit MO
- Subjects
- France, Humans, Kidney Failure, Chronic, Kidney Transplantation, Professional Staff Committees, Practice Guidelines as Topic, Systematic Reviews as Topic
- Published
- 2021
- Full Text
- View/download PDF
45. Response to the Coronavirus Disease 2019 Pandemic by the Spine Division at a Level-I Academic Referral Center.
- Author
-
DeKeyser GJ, Brodke DS, Saltzman CL, and Lawrence BD
- Subjects
- Academic Medical Centers organization & administration, Elective Surgical Procedures, Humans, Occupational Health, Operating Rooms, Orthopedic Procedures, Orthopedics education, Personnel Staffing and Scheduling, Professional Staff Committees, SARS-CoV-2, Spinal Diseases classification, Telemedicine, Triage, COVID-19 prevention & control, Occupational Exposure prevention & control, Orthopedics organization & administration, Patient Selection, Spinal Diseases surgery
- Abstract
Coronavirus disease 2019 (COVID-19) is a ubiquitous health concern and a global pandemic. In an effort to slow the disease spread and protect valuable healthcare resources, cessation of nonessential surgery, including many orthopaedic procedures, has become commonplace. This crisis has created a unique situation in the care of spine patients as we must balance the urgency of patient evaluation, surgical intervention, and continued training against the risk of disease exposure and resource management. The spine division of an orthopaedic surgery department has taken an active role in enacting protocol changes in anticipation of COVID-19. In the initial 4 weeks of the COVID-19 pandemic the spine division went from an average of 60.4 cases to 10 cases during the same timeframe. Clinic visits decreased from 417.4 to 322 with new patient visits decreasing from 28% to 20%. Three hundred eighteen of the 322 (98.7%) clinic visits were performed via telehealth. Although these changes have been forced upon us by necessity, we feel that our division and department will emerge in a more responsive, agile, and stronger state. As we look to the coming months and beyond, it will be important to continue to adapt to the changing landscape during unprecedented times.
- Published
- 2020
- Full Text
- View/download PDF
46. Activities developed by the committees of prevention of infant and fetal deaths: integrative review
- Author
-
Andriela Backes, Ruoff, Selma Regina de, Andrade, and Márcia Danieli, Schmitt
- Subjects
Patient Care Team ,Quality Assurance, Health Care ,Social Determinants of Health ,Perinatal Death ,Advisory Committees ,Infant, Newborn ,Infant ,Infant Death ,Professional Staff Committees ,Perinatal Care ,Interinstitutional Relations ,Pregnancy ,Risk Factors ,Infant Mortality ,Fetal Mortality ,Humans ,Female ,Interdisciplinary Communication ,Preventive Medicine ,Healthcare Disparities ,Fetal Death - Abstract
To systematize knowledge on the activities developed by the committees involved in the prevention of infant and fetal deaths.Integrated literature review conducted in November 2015 at PubMed, CINAHL, Scopus, LILACS, BDEnf and SciELO databases using keywords and descriptors of infant mortality, infant death, infant deaths, fetal death, fetal deaths, fetal mortality, neonatal mortality, professional committee, committee, committees, advisory committees. The 34 selected studies were organized and analyzed using Microsoft Excel®.International, national, regional, state and local committees analyze the deaths and conduct activities aimed to qualify maternal and childcare and feed the health information systems.The committees for the prevention of infant and fetal mortality collect, produce, analyze and disseminate information related to these deaths in order to reduce infant and fetal mortality rates.
- Published
- 2016
47. The Neurostimulation Appropriateness Consensus Committee (NACC) Recommendations for Infection Prevention and Management
- Author
-
Samer Narouze, Stanley Golovac, Nagy Mekhail, Shivanand P. Lad, Didier Demesmin, Michael Saulino, Steven M. Falowski, Simon Thomson, Timothy R. Deer, Robert M. Levy, Michael Hanes, David A. Provenzano, Ganesan Baranidharan, Elliot S. Krames, Tory McJunkin, Louis J. Raso, William O. Witt, Marc Russo, Jason E. Pope, and Brian A. Simpson
- Subjects
medicine.medical_specialty ,Consensus ,medicine.medical_treatment ,Best practice ,Electric Stimulation Therapy ,Infections ,Patient care ,Professional Staff Committees ,03 medical and health sciences ,0302 clinical medicine ,Medicine ,Infection control ,Humans ,In patient ,030212 general & internal medicine ,Intensive care medicine ,Neurostimulation ,Infection Control ,business.industry ,General Medicine ,Neuromodulation (medicine) ,Anesthesiology and Pain Medicine ,Neurology ,Expert opinion ,Neuropathic pain ,Practice Guidelines as Topic ,Physical therapy ,Neuralgia ,Neurology (clinical) ,business ,030217 neurology & neurosurgery - Abstract
Introduction The use of neurostimulation for pain has been an established therapy for many decades and is a major tool in the arsenal to treat neuropathic pain syndromes. Level I evidence has recently been presented to substantiate the therapy, but this is balanced against the risk of complications of an interventional technique. Methods The Neurostimulation Appropriateness Consensus Committee (NACC) of the International Neuromodulation Society convened an international panel of well published and diverse physicians to examine the best practices for infection mitigation and management in patients undergoing neurostimulation. The NACC recommendations are based on evidence scoring and peer-reviewed literature. Where evidence is lacking the panel added expert opinion to establish recommendations. Results The NACC has made recommendations to improve care by reducing infection and managing this complication when it occurs. These evidence-based recommendations should be considered best practices in the clinical implantation of neurostimulation devices. Conclusion Adhering to established standards can improve patient care and reduce the morbidity and mortality of infectious complications in patients receiving neurostimulation.
- Published
- 2016
48. The Commission for Health Improvement (CHI) review of North Birmingham Mental Health Trust: what can we hope for from the CHI?
- Author
-
Tom Burns
- Subjects
Hospitals, Psychiatric ,Mental Health Services ,medicine.medical_specialty ,Health improvement ,Mental Health Act ,Social Welfare ,Commission ,State Medicine ,Professional Staff Committees ,03 medical and health sciences ,0302 clinical medicine ,Nursing ,Multidisciplinary approach ,Medicine ,Humans ,030212 general & internal medicine ,Psychiatry ,Quality of Health Care ,Service (business) ,Medical Audit ,business.industry ,Hospitals, Public ,Public health ,Mental health ,030227 psychiatry ,Psychiatry and Mental health ,England ,business - Abstract
If you are working in mental health, you get used to being inspected and commented upon – the Mental Health Act Commission, Audit Commission, Social Services Inspectorate, Health Advisory Service (HAS, as was) and public inquiries into patient homicides. Working in multidisciplinary teams has made us used to operating with a variety of perspectives and for most of us this is a necessary and welcome part of the job. Few psychiatrists, however, are so sanguine about the former HAS or about homicide inquiries. The repeated complaint has been their inconsistency. Their quality and tone (potentially as damaging as their findings) have varied to quite an indefensible degree.
- Published
- 2016
49. Is it time for a national pediatric heart review board?
- Author
-
Meghann McKane, Justin Godown, and Debra A. Dodd
- Subjects
Transplantation ,Pediatrics ,medicine.medical_specialty ,Tissue and Organ Procurement ,business.industry ,030232 urology & nephrology ,030230 surgery ,medicine.disease ,United States ,Professional Staff Committees ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Heart Transplantation ,Humans ,Medical emergency ,business ,Child - Published
- 2016
50. [The control commission in the mental health services - Herman Wedel Majors innovation]
- Author
-
Herman Wedel, Major
- Subjects
Mental Health Services ,Psychiatry ,Legislation, Medical ,Norway ,Humans ,History, 19th Century ,Professional Staff Committees - Published
- 2016
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