The Experts below are selected from a list of 30441 Experts worldwide ranked by ideXlab platform
Sarah E Peyre - One of the best experts on this subject based on the ideXlab platform.
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impact of online education on intern behaviour around Joint Commission national patient safety goals a randomised trial
BMJ Quality & Safety, 2012Co-Authors: Tim Shaw, Luise I M Pernar, Kaitlin R Vogelgesang, Sarah E Peyre, John F Helfrick, Erin Graydonbaker, Y Chretien, Elizabeth J Brown, James Nicholson, Jeremy J HeitAbstract:Purpose To compare the effectiveness of two types of online learning methodologies for improving the patient-safety behaviours mandated in the Joint Commission National Patient Safety Goals (NPSG). Methods This randomised controlled trial was conducted in 2010 at Massachusetts General Hospital and Brigham and Women's Hospital (BWH) in Boston USA. Incoming interns were randomised to either receive an online Spaced Education (SE) programme consisting of cases and questions that reinforce over time, or a programme consisting of an online slide show followed by a quiz (SQ). The outcome measures included NPSG-knowledge improvement, NPSG-compliant behaviours in a simulation scenario, self-reported confidence in safety and quality, programme acceptability and programme relevance. Results Both online learning programmes improved knowledge retention. On four out of seven survey items measuring satisfaction and self-reported confidence, the proportion of SE interns responding positively was significantly higher (p<0.05) than the fraction of SQ interns. SE interns demonstrated a mean 4.79 (36.6%) NPSG-compliant behaviours (out of 13 total), while SQ interns completed a mean 4.17 (32.0%) (p=0.09). Among those in surgical fields, SE interns demonstrated a mean 5.67 (43.6%) NPSG-compliant behaviours, while SQ interns completed a mean 2.33 (17.9%) (p=0.015). Focus group data indicates that SE was more contextually relevant than SQ, and significantly more engaging. Conclusion While both online methodologies improved knowledge surrounding the NPSG, SE was more contextually relevant to trainees and was engaging. SE impacted more significantly on both self-reported confidence and the behaviour of surgical residents in a simulated scenario.
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using an objective structured clinical examination to test adherence to Joint Commission national patient safety goal associated behaviors
The Joint Commission Journal on Quality and Patient Safety, 2012Co-Authors: Luise I M Pernar, Tim Shaw, Charles N Pozner, Kaitlin R Vogelgesang, Susan E Lacroix, Tejal K Gandhi, Sarah E PeyreAbstract:Article-at-a-Glance Background A study was conducted at a tertiary care academic medical center to assess a simulation-based, single-station Objective Structured Clinical Examination (OSCE) designed to evaluate intern trainees' familiarity with and adherence to behaviors associated with Joint Commission National Patient Safety Goals and The Joint Commission Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery™. Method Subjects were interns, from all disciplines, completing basic skills training during intern orientation. The OSCE scenario was designed to assess 13 behaviors associated with four National Patient Safety Goals (1, 2, 3, and 7) from 2009 and 2010 and the Universal Protocol. Sessions were digitally recorded and independently reviewed by two observers, who scored behaviors using a standardized score sheet. Behaviors were assigned point values and tabulated for all trainees. Kappa coefficient was calculated to assess interrater reliability. Results One-hundred eleven (74.5%) of 149 interns completed the station. The average time to completion was 6.9minutes (standard deviation [SD] 1.8; range, 3.5–12.6). Interns scored an average of 9.5 points (SD, 4.7; range, 2–20; mode, 8) of 26. The interrater reliability for the two reviewers was 0.9. Interns most frequently requested chlorhexidine to sterilize the patient's skin (98.2% of interns demonstrated); identifying an unlabeled medication vial as inappropriate for use was the most frequently missed item (8.1% of interns demonstrated). Conclusions Behaviors related to tenets of patient safety and quality care can be assessed using a simple to design and execute OSCE. Using simulation to test behaviors associated with the National Patient Safety Goals may be a desirable adjunct to traditional simple knowledge-based tests.
Cynthia M Tracy - One of the best experts on this subject based on the ideXlab platform.
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accf aha hrs scai clinical competence statement on physician knowledge to optimize patient safety and image quality in fluoroscopically guided invasive cardiovascular procedures a report of the american college of cardiology foundation american heart
Journal of the American College of Cardiology, 2005Co-Authors: John W Hirshfeld, Stephen Balter, Jeffrey A Brinker, Morton J Kern, Lloyd W Klein, Bruce D Lindsay, Carl L Tommaso, Cynthia M Tracy, Louis K Wagner, Mark A CreagerAbstract:The granting of clinical staff privileges to physicians is a primary mechanism used by institutions to uphold the quality of care. The Joint Commission on Accreditation of Healthcare Organization (JCAHO) requires that the granting of continuing medical staff privileges be based on assessments of applicants against professional criteria specified in the medical staff bylaws. Physicians themselves are thus charged with …
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acc aha clinical competence statement on electrocardiography and ambulatory electrocardiography a report of the acc aha acp asim task force on clinical competence acc aha committee to develop a clinical competence statement on electrocardiography and
Circulation, 2001Co-Authors: Alan H Kadish, Cynthia M Tracy, Alfred E Buxton, Harold L Kennedy, Bradley P Knight, Jay W Mason, Claudio Schuger, William L Winters, Alan W Boone, Michael ElnickiAbstract:The granting of clinical staff privileges to physicians is a primary mechanism used by institutions to uphold the quality of care. The Joint Commission on Accreditation of Health Care Organizations requires that the granting of continuing medical staff privileges be based on assessments of
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american college of cardiology american heart association clinical competence statement on invasive electrophysiology studies catheter ablation and cardioversion a report of the american college of cardiology american heart association american college of physicians american society of internal medicine task force on clinical competence
Journal of the American College of Cardiology, 2000Co-Authors: Cynthia M Tracy, John W Hirshfeld, William L Winters, Alan W Boone, Masood Akhtar, John P Dimarco, Douglas L Packer, Howard H Weitz, James L Achord, Beverly H LorellAbstract:The granting of clinical staff privileges to physicians is a primary mechanism used by institutions to uphold the quality of patient care. The Joint Commission on Accreditation of Healthcare Organizations requires that the granting of continuing medical staff privileges be based on assessments of
Luise I M Pernar - One of the best experts on this subject based on the ideXlab platform.
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impact of online education on intern behaviour around Joint Commission national patient safety goals a randomised trial
BMJ Quality & Safety, 2012Co-Authors: Tim Shaw, Luise I M Pernar, Kaitlin R Vogelgesang, Sarah E Peyre, John F Helfrick, Erin Graydonbaker, Y Chretien, Elizabeth J Brown, James Nicholson, Jeremy J HeitAbstract:Purpose To compare the effectiveness of two types of online learning methodologies for improving the patient-safety behaviours mandated in the Joint Commission National Patient Safety Goals (NPSG). Methods This randomised controlled trial was conducted in 2010 at Massachusetts General Hospital and Brigham and Women's Hospital (BWH) in Boston USA. Incoming interns were randomised to either receive an online Spaced Education (SE) programme consisting of cases and questions that reinforce over time, or a programme consisting of an online slide show followed by a quiz (SQ). The outcome measures included NPSG-knowledge improvement, NPSG-compliant behaviours in a simulation scenario, self-reported confidence in safety and quality, programme acceptability and programme relevance. Results Both online learning programmes improved knowledge retention. On four out of seven survey items measuring satisfaction and self-reported confidence, the proportion of SE interns responding positively was significantly higher (p<0.05) than the fraction of SQ interns. SE interns demonstrated a mean 4.79 (36.6%) NPSG-compliant behaviours (out of 13 total), while SQ interns completed a mean 4.17 (32.0%) (p=0.09). Among those in surgical fields, SE interns demonstrated a mean 5.67 (43.6%) NPSG-compliant behaviours, while SQ interns completed a mean 2.33 (17.9%) (p=0.015). Focus group data indicates that SE was more contextually relevant than SQ, and significantly more engaging. Conclusion While both online methodologies improved knowledge surrounding the NPSG, SE was more contextually relevant to trainees and was engaging. SE impacted more significantly on both self-reported confidence and the behaviour of surgical residents in a simulated scenario.
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using an objective structured clinical examination to test adherence to Joint Commission national patient safety goal associated behaviors
The Joint Commission Journal on Quality and Patient Safety, 2012Co-Authors: Luise I M Pernar, Tim Shaw, Charles N Pozner, Kaitlin R Vogelgesang, Susan E Lacroix, Tejal K Gandhi, Sarah E PeyreAbstract:Article-at-a-Glance Background A study was conducted at a tertiary care academic medical center to assess a simulation-based, single-station Objective Structured Clinical Examination (OSCE) designed to evaluate intern trainees' familiarity with and adherence to behaviors associated with Joint Commission National Patient Safety Goals and The Joint Commission Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery™. Method Subjects were interns, from all disciplines, completing basic skills training during intern orientation. The OSCE scenario was designed to assess 13 behaviors associated with four National Patient Safety Goals (1, 2, 3, and 7) from 2009 and 2010 and the Universal Protocol. Sessions were digitally recorded and independently reviewed by two observers, who scored behaviors using a standardized score sheet. Behaviors were assigned point values and tabulated for all trainees. Kappa coefficient was calculated to assess interrater reliability. Results One-hundred eleven (74.5%) of 149 interns completed the station. The average time to completion was 6.9minutes (standard deviation [SD] 1.8; range, 3.5–12.6). Interns scored an average of 9.5 points (SD, 4.7; range, 2–20; mode, 8) of 26. The interrater reliability for the two reviewers was 0.9. Interns most frequently requested chlorhexidine to sterilize the patient's skin (98.2% of interns demonstrated); identifying an unlabeled medication vial as inappropriate for use was the most frequently missed item (8.1% of interns demonstrated). Conclusions Behaviors related to tenets of patient safety and quality care can be assessed using a simple to design and execute OSCE. Using simulation to test behaviors associated with the National Patient Safety Goals may be a desirable adjunct to traditional simple knowledge-based tests.
Tim Shaw - One of the best experts on this subject based on the ideXlab platform.
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impact of online education on intern behaviour around Joint Commission national patient safety goals a randomised trial
BMJ Quality & Safety, 2012Co-Authors: Tim Shaw, Luise I M Pernar, Kaitlin R Vogelgesang, Sarah E Peyre, John F Helfrick, Erin Graydonbaker, Y Chretien, Elizabeth J Brown, James Nicholson, Jeremy J HeitAbstract:Purpose To compare the effectiveness of two types of online learning methodologies for improving the patient-safety behaviours mandated in the Joint Commission National Patient Safety Goals (NPSG). Methods This randomised controlled trial was conducted in 2010 at Massachusetts General Hospital and Brigham and Women's Hospital (BWH) in Boston USA. Incoming interns were randomised to either receive an online Spaced Education (SE) programme consisting of cases and questions that reinforce over time, or a programme consisting of an online slide show followed by a quiz (SQ). The outcome measures included NPSG-knowledge improvement, NPSG-compliant behaviours in a simulation scenario, self-reported confidence in safety and quality, programme acceptability and programme relevance. Results Both online learning programmes improved knowledge retention. On four out of seven survey items measuring satisfaction and self-reported confidence, the proportion of SE interns responding positively was significantly higher (p<0.05) than the fraction of SQ interns. SE interns demonstrated a mean 4.79 (36.6%) NPSG-compliant behaviours (out of 13 total), while SQ interns completed a mean 4.17 (32.0%) (p=0.09). Among those in surgical fields, SE interns demonstrated a mean 5.67 (43.6%) NPSG-compliant behaviours, while SQ interns completed a mean 2.33 (17.9%) (p=0.015). Focus group data indicates that SE was more contextually relevant than SQ, and significantly more engaging. Conclusion While both online methodologies improved knowledge surrounding the NPSG, SE was more contextually relevant to trainees and was engaging. SE impacted more significantly on both self-reported confidence and the behaviour of surgical residents in a simulated scenario.
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using an objective structured clinical examination to test adherence to Joint Commission national patient safety goal associated behaviors
The Joint Commission Journal on Quality and Patient Safety, 2012Co-Authors: Luise I M Pernar, Tim Shaw, Charles N Pozner, Kaitlin R Vogelgesang, Susan E Lacroix, Tejal K Gandhi, Sarah E PeyreAbstract:Article-at-a-Glance Background A study was conducted at a tertiary care academic medical center to assess a simulation-based, single-station Objective Structured Clinical Examination (OSCE) designed to evaluate intern trainees' familiarity with and adherence to behaviors associated with Joint Commission National Patient Safety Goals and The Joint Commission Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery™. Method Subjects were interns, from all disciplines, completing basic skills training during intern orientation. The OSCE scenario was designed to assess 13 behaviors associated with four National Patient Safety Goals (1, 2, 3, and 7) from 2009 and 2010 and the Universal Protocol. Sessions were digitally recorded and independently reviewed by two observers, who scored behaviors using a standardized score sheet. Behaviors were assigned point values and tabulated for all trainees. Kappa coefficient was calculated to assess interrater reliability. Results One-hundred eleven (74.5%) of 149 interns completed the station. The average time to completion was 6.9minutes (standard deviation [SD] 1.8; range, 3.5–12.6). Interns scored an average of 9.5 points (SD, 4.7; range, 2–20; mode, 8) of 26. The interrater reliability for the two reviewers was 0.9. Interns most frequently requested chlorhexidine to sterilize the patient's skin (98.2% of interns demonstrated); identifying an unlabeled medication vial as inappropriate for use was the most frequently missed item (8.1% of interns demonstrated). Conclusions Behaviors related to tenets of patient safety and quality care can be assessed using a simple to design and execute OSCE. Using simulation to test behaviors associated with the National Patient Safety Goals may be a desirable adjunct to traditional simple knowledge-based tests.
John W Hirshfeld - One of the best experts on this subject based on the ideXlab platform.
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accf aha hrs scai clinical competence statement on physician knowledge to optimize patient safety and image quality in fluoroscopically guided invasive cardiovascular procedures a report of the american college of cardiology foundation american heart
Journal of the American College of Cardiology, 2005Co-Authors: John W Hirshfeld, Stephen Balter, Jeffrey A Brinker, Morton J Kern, Lloyd W Klein, Bruce D Lindsay, Carl L Tommaso, Cynthia M Tracy, Louis K Wagner, Mark A CreagerAbstract:The granting of clinical staff privileges to physicians is a primary mechanism used by institutions to uphold the quality of care. The Joint Commission on Accreditation of Healthcare Organization (JCAHO) requires that the granting of continuing medical staff privileges be based on assessments of applicants against professional criteria specified in the medical staff bylaws. Physicians themselves are thus charged with …
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american college of cardiology american heart association clinical competence statement on invasive electrophysiology studies catheter ablation and cardioversion a report of the american college of cardiology american heart association american college of physicians american society of internal medicine task force on clinical competence
Journal of the American College of Cardiology, 2000Co-Authors: Cynthia M Tracy, John W Hirshfeld, William L Winters, Alan W Boone, Masood Akhtar, John P Dimarco, Douglas L Packer, Howard H Weitz, James L Achord, Beverly H LorellAbstract:The granting of clinical staff privileges to physicians is a primary mechanism used by institutions to uphold the quality of patient care. The Joint Commission on Accreditation of Healthcare Organizations requires that the granting of continuing medical staff privileges be based on assessments of
