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PubMed2005

Vaccine information statements. Revolutionary but neglected educational advances in healthcare in the United States.

The purpose of this report is to provide further information about vaccine information statements (VISs) that are revolutionary but neglected educational advances in the United States. Because the use of VISs is mandated by the Federal Government in every individual being immunized, it is the goal of this report to further awaken health professionals and society to the mandatory use of these superb educational statements. With the passage of the National Childhood Vaccine Injury Act of 1986, the Federal Government required that VISs would be given to all vaccine recipients. As of September 2001, the VISs that must be used are diphtheria, tetanus, pertussis, (DTaP); diphtheria, tetanus (Td); measles, mumps, rubella (MMR); polio (IPV); hepatitis B; Haemophilus influenzae type b (Hib); varicella; and pneumococcal conjugate. Copies of the VISs are available at www.cdc.gov/nip/publications/VIS. The National Childhood Vaccine Injury Act of 1986 mandated that all health care providers report certain adverse events that occur following vaccination. As a result, the Vaccine Adverse Events Reporting System (VAERS) was established by the FDA and the Centers for Disease Control and Prevention (CDC) in 1990. In order to reduce the liability of manufacturers and healthcare providers, the National Childhood Vaccine Injury Act of 1986 established the National Vaccine Injury Compensation Program (NVICP). This program is intended to compensate those individuals who have been injured by vaccines on a no-fault basis. While the use of VISs has been mandated since 1996, a national survey of private practice office settings has revealed that many immunized patients do not receive the VISs. When these forms were used, physicians rarely initiated discussions regarding contraindications to immunizations or the National Vaccine Injury Compensation Program. Fortunately, the state boards of medical examiners, like the one in Oregon, are taking a strong stand for the use of VISs, with the warning that failure to use a VIS may result in disciplinary action. Our nation and practicing physicians must be awakened to the importance of the use of VISs to ensure that every vaccinated individual receives this statement at the time of vaccination.

Adverse Drug Reaction Reporting Systems↗

PubMed2004

Who is the victim anyway? The effects of bystander victim impact statements on mock juror sentencing decisions.

Victim impact evidence was varied in a brief trial scenario given to 120 participants eligible for jury service. The scenario concerned the murder trial of a disgruntled employee accused of bombing his former workplace. Participants read either no victim impact evidence or one of three victim impact statements. For the victim impact statements, we varied the identity of the witness. The victim impact statement was given by either the wife of the victim, a coworker of the victim, or a firefighter called to the crime scene. Results revealed that only the victim impact evidence given by the coworker lead to harsher sentencing judgments. However, participants rated the suffering of the victim's wife as most severe, indicating that perceptions of suffering may not predict sentencing judgments in a straightforward manner. Implications for these findings for legal decisions such as Payne v. Tennessee (1991) are discussed.

Adult↗

PubMed1999

Muscle test comparisons of congruent and incongruent self-referential statements.

This study investigated differences in values of manual muscle tests after exposure to congruent and incongruent semantic stimuli. Muscle testing with a computerized dynamometer was performed on the deltoid muscle group of 89 healthy college students after repetitions of congruent (true) and incongruent (false) self-referential statements. The order in which statements were repeated was controlled by a counterbalanced design. The combined data showed that approximately 17% more total force over a 59% longer period of time could be endured when subjects repeated semantically congruent statements (p < .001). Order effects were not significant. Over-all, significant differences were found in muscle-test responses between congruent and incongruent semantic stimuli.

Adolescent↗

PubMed1995

Facilitating changes in exercise behavior: effect of structured statements of intention on perceived barriers to action.

Two groups of worksite employees (58 in a control, 53 in an experimental group) underwent three 90-min. educational sessions designed to increase participation in exercise. At the end of the third session, experimental subjects were asked to complete a structured statement of exercise intention which addressed the major barrier to exercise. Two weeks following the program, chi-squared analysis showed that the two groups were proportionately different in changes in frequency and intensity of exercise such that the experimental group in both cases showed greater changes than the control. Experimental subjects showed a twofold increase in frequency and intensity of exercise over the control group. Pearson r indicated a statistically significant association between the completeness of structured statements of intention and an increase in frequency of exercise. We conclude that structured statements of intention are useful for distinguishing between contrived barriers to exercise (excuses) and actual barriers that require practical solutions.

Adult↗

PubMed2003

The STARD statement for reporting studies of diagnostic accuracy: explanation and elaboration.

The quality of reporting of studies of diagnostic accuracy is less than optimal. Complete and accurate reporting is necessary to enable readers to assess the potential for bias in the study and to evaluate the generalizability of the results. A group of scientists and editors has developed the STARD (Standards for Reporting of Diagnostic Accuracy) statement to improve the reporting the quality of reporting of studies of diagnostic accuracy. The statement consists of a checklist of 25 items and flow diagram that authors can use to ensure that all relevant information is present. This explanatory document aims to facilitate the use, understanding, and dissemination of the checklist. The document contains a clarification of the meaning, rationale, and optimal use of each item on the checklist, as well as a short summary of the available evidence on bias and applicability. The STARD statement, checklist, flowchart, and this explanation and elaboration document should be useful resources to improve reporting of diagnostic accuracy studies. Complete and informative reporting can only lead to better decisions in health care.

Algorithms↗

PubMed2004

Screening for family and intimate partner violence: recommendation statement.

This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on screening for family and intimate partner violence, based on the USPSTF's examination of evidence specific to family and intimate partner violence, and updates the 1996 recommendations on this topic. In 1996, the USPSTF found insufficient evidence to recommend for or against the use of specific instruments to detect domestic violence (a grade C recommendation, according to 1996 grade definitions). The USPSTF now uses an explicit process in which the balance of benefits and harms is determined exclusively by the quality and magnitude of the evidence. As a result, current letter grades are based on different criteria from those in 1996. The complete information on which this statement is based, including evidence tables and references, is available in the accompanying article in this issue and in the summary of the evidence and systematic evidence review on the USPSTF Web site (http://www.preventiveservices.ahrq.gov) and through the National Guideline Clearinghouse (http://www.guideline.gov). The USPSTF recommendation, the accompanying summary article, and the complete systematic evidence review are available through the USPSTF Web site (http://www.preventiveservices.ahrq.gov). The summary article and the USPSTF recommendation statement are available in print through the Agency for Healthcare Research and Quality Publications Clearinghouse (telephone, 800-358-9295; e-mail, ahrqpubs@ahrq.gov).

Adult↗

PubMed2004

Screening for coronary heart disease: recommendation statement.

This statement summarizes the current U.S. Preventive Services Task Force (USPSTF) recommendations on screening for coronary heart disease and the supporting scientific evidence and updates the 1996 recommendations on this topic. The complete information on which this statement is based, including evidence tables and references, is available in the background article and the systematic evidence review, available through the USPSTF Web site (http://www.preventiveservices.ahrq.gov) and through the National Guideline Clearinghouse (http://www.guideline.gov). The article and the recommendation statement are also available in print through the Agency for Healthcare Research and Quality Publications Clearinghouse (telephone, 800-358-9295; e-mail, ahrqpubs@ahrq.gov).

Coronary Disease↗

PubMed2004

Lung cancer screening: recommendation statement.

This statement summarizes the current U.S. Preventive Services Task Force (USPSTF) recommendation on screening for lung cancer and the supporting scientific evidence and updates the 1996 recommendations on this topic. In 1996, the USPSTF recommended against screening for lung cancer (a grade D recommendation). The Task Force now uses an explicit process in which the balance of benefits and harms is determined exclusively by the quality and magnitude of the evidence. As a result, current letter grades are based on different criteria than those used in 1996. The complete information on which this statement is based, including evidence tables and references, is available in the accompanying article in this issue and in the systematic evidence review on this topic, available through the USPSTF Web site (http://www.preventiveservices.ahrq.gov) and the National Guideline Clearinghouse (http://www.guideline.gov). The complete USPSTF recommendation statement (which includes a brief review of the supporting evidence) and the summary of the evidence are also available in print through the Agency for Healthcare Research and Quality Publications Clearinghouse (telephone, 800-358-9295; e-mail, ahrqpubs@ahrq.gov).

Female↗

PubMed1995

SFAS No. 117 brings uniformity to financial statement formats.

Statement of Financial Accounting Standards (SFAS) No. 117 was issued to establish consistency in financial reporting among not-for-profit organizations, which are subject to various American Institute of Certified Public Accountants (AICPA) audit guides. In addition, SFAS No. 117 was designed to close the gap between the statements of not-for-profit and for-profit organizations. The provisions of SFAS No. 117 are intended to override AICPA audit guides and statements of position when the two conflict.

Accounting↗

PubMed1995

Writing a PACS program statement.

Medical telecommunications is becoming a necessity for maintaining the quality of care and delivering services on a timely basis in the current environment of cutting services and specialists to reduce costs. (Vanden Brink 1994). Picture archiving and communications systems (PACS) and teleradiology are increasingly viable because there is easier connectivity among modalities and manufacturers. Agreement on the DICOM Standard is one step toward greater connectivity. Two-thirds of the 350 radiology administrators, radiologists, hospital administrators and MIS directors interviewed for the 1994 IMACS/PACS Tracking Study believe that the use of image telecommunication technology is growing. In 1993, Vanderbilt University Medical Center (VUMC) formed a committee to evaluate the need for PACS and to compile a program statement. The principal purpose of the program statement is to provide fundamental information that can be understood easily by individuals outside the radiology department. It outlines the benefits of PACS and includes a financial analysis of the purchase and installation of a system. Key elements of the program statement include a description and analysis of the existing film library system, advantages of PACS, implementation plan, financial proforma and integration with the hospital information system. These and other topics are covered in detail in the following article.

Computer Communication Networks↗

PubMed1996

Revised DOJ and FTC policy statements offer more options for physician joint ventures.

Physician networks and multi-provider networks that do not demonstrate financial integration through substantial risk sharing present antitrust risk and face possible scrutiny by the Department of Justice and Federal Trade Commission. However, the DOJ and the FTC have recently revised statements 8 and 9 of their Statements of Enforcement in Health Care. The revised statements allow increased flexibility in the formation of provider networks and describe in detail the extent of integration--financial or otherwise --required for a joint venture to be lawful.

Antitrust Laws↗

PubMed1999

Medicaid policy statement. American Academy of Pediatrics. Committee on Child Health Financing.

This policy statement replaces the 1994 Medicaid Policy Statement. The new policy statement incorporates federal legislative changes and policy recommendations related to eligibility, outreach and enrollment, Medicaid managed care, covered benefits, access to pediatric care, and quality improvement plans.

Child↗

PubMed2000

A statement for health care professionals on type 2 diabetes mellitus in Hong Kong. Diabetes division, Hong Kong Society for Endocrinology, Metabolism, and Reproduction.

OBJECTIVE: To issue a statement for health care professionals on type 2 diabetes mellitus in Hong Kong. PARTICIPANTS: The Diabetes Division was established under the auspices of the Hong Kong Society for Endocrinology, Metabolism, and Reproduction. The Division consists of medical and paediatric specialists, as well as health educators, including nurses, podiatrists, and dietitians who have a particular interest in diabetes. EVIDENCE: The statement was based on evidence from the available scientific literature on diabetes management from Hong Kong and overseas. CONSENSUS PROCESS: The draft statement was prepared on 16 February 2000 by a working group of diabetologists working in the public and private sectors. It was presented to the Council of the Diabetes Division on 7 March 2000 and approved by the Council of the Hong Kong Society for Endocrinology, Metabolism, and Reproduction on 11 March 2000. CONCLUSIONS: Type 2 diabetes mellitus affects people of all ages and is a massive public health problem. The criteria used to diagnose diabetes mellitus have recently been revised. Physicians require increased vigilance to screen for glucose intolerance in individuals who have risk factors for type 2 diabetes mellitus. There are now recommended cost-effective procedures for the optimal management of type 2 diabetes mellitus, which emphasise regular monitoring, the control of both diabetes and associated risk factors, and self-management. To address this public health problem, concerted efforts by health care professionals and public bodies are needed to increase levels of awareness and improve the standard of care.

Adult↗

PubMed2001

[The Animal Health and Welfare Law: the veterinary statement as evidence and the role of veterinarians in legal procedures].

Every veterinarian can be confronted with the request from a law enforcement agency to conduct a veterinary examination based on the Animal Health and Welfare Act and to produce a written report of that examination. This Veterinary Statement can be used in court. The Veterinary Statement is an important piece of evidence, so it should be formulated with care. The veterinarian in charge must be aware of the requirements that the Veterinary Statement must meet and the legal procedures that must be followed.

Animal Husbandry↗

PubMed2003

The STARD statement for reporting studies of diagnostic accuracy: explanation and elaboration. The Standards for Reporting of Diagnostic Accuracy Group.

The quality of reporting of studies of diagnostic accuracy is less than optimal. Complete and accurate reporting is necessary to enable readers to assess the potential for bias in a study and to evaluate the generalisability of the results. A group of scientists and editors has developed the STARD (Standards for Reporting of Diagnostic Accuracy) statement to improve the quality of reporting of studies of diagnostic accuracy. The statement consists of a checklist of 25 items and flow diagram that authors can use to ensure that all relevant information is present. This explanatory document aims to facilitate the use, understanding and dissemination of the checklist. The document contains a clarification of the meaning, rationale and optimal use of each item on the checklist, as well as a short summary of the available evidence on bias and applicability. The STARD statement, checklist, flowchart, and this explanation and elaboration document should be useful resources to improve the reporting of diagnostic accuracy studies. Complete and informative reporting can only lead to better decisions in health care.

Advisory Committees↗

PubMed2004

The development of multi-level critical care competency statements for self-assessment by ICU nurses.

Multi-levelled critical care competency statements were developed based on the levels of novice to expert (Benner, 1984). These competency statements provide a framework for the development of knowledge and skills specific to critical care. The purpose of this tool is to guide personal development in critical care, facilitating the assessment of individual learning needs. Competency levels are attained through the completion of performance criteria. Multi-levelled competency statements define clear expectations for the new orientee, in addition to providing a framework for the advancement of the intermediate and experienced nurse.

Attitude of Health Personnel↗

PubMed2005

Treating morphologic and metabolic complications in HIV-infected patients on antiretroviral therapy. A consensus statement of an advisory committee of the International Association of Physicians in AIDS Care.

OBJECTIVE: Clinicians are increasingly challenged by presentation of morphologic and metabolic complications in HIV-infected patients. These complications are associated with HIV infection and/or combination antiretroviral therapy. This Consensus Statement is intended to offer guidance to clinicians actively involved in HIV/AIDS care. PARTICIPANTS: Seven clinicians with expertise in HIV medicine were invited by the International Association of Physicians in AIDS Care (IAPAC) to serve on an ad hoc Advisory Committee. CONSENSUS PROCESS: IAPAC convened the Advisory Committee to develop a draft Consensus Statement. Each clinician was tasked with drafting a specific section of the Consensus Statement corresponding with his or her expertise around a morphologic and/or metabolic complication. Scientific and clinical research, and other data in published literature and abstracts from scientific conferences were considered by strength of evidence. This document represents the consensus agreement of the Advisory Committee.

Anti-HIV Agents↗

PubMed2005

Is your statement writing up to scratch?

Patients now have a willingness to litigate when things go wrong with their care. One day you may have to write a statement for the purpose of forming a defence in a clinical negligence claim. A well written statement can be an excellent defence against allegations. John Beesley, AfPP's Lead Professional Officer, outlines guidance and best practice for statement writing.

Benchmarking↗