BACKGROUND Patient survival and quality of life depend on each haemodialysis session being performed without fault. Monthly assessments of dialysis dose adequacy often fall short of this. This study reports the results of a feasibility study for the achievement of improved safety and quality in a haemodialysis session with the implementation of a 15-point checklist. METHODS Fifteen quality in...

The standard of reporting in diagnostic studies has generally been low. Fortunately, this issue has begun to be addressed in recent years through the discussion of important methodological issues in educational series, textbooks, and checklists. Double-blind, placebo-controlled, oral food challenges (DBPCFC) are considered to be the gold standard for diagnosis of food allergy. However, there is...

he surgical act involves risks and responsibilities for the atient, the surgeon and the hospital at different degrees of ntensity. An interesting practice known as “time out”, forming part f the Safe Surgery project, has been disseminated among ospitals. The idea is to check all the possibilities for failure that ight occur during the surgical procedure and failures due to istakes at different ...

BACKGROUND The physicians' competency is an important public health issue around the world. Several international organizations have taken the lead in examining the competencies required to be a physician. The purpose of this study is to identify subgroups of physicians' competency based upon the importance results of competency evaluation and provide a scientific basis for the qualitative rese...

This commentary offers a perspective from another common law jurisdiction, specifically the law in England and Wales, where competency to stand trial on a criminal charge is known as fitness to plead. The commentary begins with a discussion on the principle of proportionality evident in health care decisions by way of comparison with the topic in the criminal arena. Fitness to plead is an histo...

This chapter introduces a new approach in organizational Competency Management which is based on Korossy’s competence performance approach and which rests on the central idea of connecting competencies to actual job performance. Such an approach has several important benefits when compared to more traditional approaches. First, it brings competency modeling and assessment more closely to the ac...

This article describes the development and use of a formal training tool for restoration of competency in clients with mental retardation who are incompetent to stand trial. The program was developed at Eleanor Slater Hospital within the Rhode Island Department of Mental Health, Retardation and Hospitals. This article describes the development of The Slater Method, the training tool format, the...

Family Medicine is a unique field in which the physician is required to be knowledgeable about many different aspects of medicine across all ages, genders, and specialties. This knowledge includes the ability to perform a wide variety of procedures including obstetric, dermatology, gynecology, and sports medicine procedures.1-4 Family Medicine residency programs are faced with the challenge of ...