Performance Standards for Environmentally Critical Elements

2014 ◽  
Author(s):  
Zhanar Yessekeyeva ◽  
Valentin Vandenbussche

2010 ◽  
Vol 2 (3) ◽  
pp. 410-418 ◽  
Author(s):  
Patricia J. Hicks ◽  
Daniel J. Schumacher ◽  
Bradley J. Benson ◽  
Ann E. Burke ◽  
Robert Englander ◽  
...  

Abstract Background The Accreditation Council for Graduate Medical Education (ACGME) and the American Board of Pediatrics (ABP) have partnered to initiate the Pediatrics Milestone Project to further refine the 6 ACGME competencies and to set performance standards as part of the continued commitment to document outcomes of training and program effectiveness. Intervention Members of the Pediatrics Milestone Project Working Group searched the medical literature and beyond to create a synopsis of models and evidence for a developmental ontogeny of the elements for 52 subcompetencies. For each subcompetency, we created a series of Milestones, grounded in the literature. The milestones were vetted with the entire working group, engaging in an iterative process of revisions until reaching consensus that their narrative descriptions (1) included all critical elements, (2) were behaviorally based, (3) were properly sequenced, and (4) represented the educational continuum of training and practice. Outcomes We have completed the first iteration of milestones for all subcompetencies. For each milestone, a synopsis of relevant literature provides background, references, and a conceptual framework. These milestones provide narrative descriptions of behaviors that represent the ontogeny of knowledge, skill, and attitude development across the educational continuum of training and practice. Discussion The pediatrics milestones take us a step closer to meaningful outcome assessment. Next steps include undertaking rigorous study, making appropriate modifications, and setting performance standards. Our aim is to assist program directors in making more reliable and valid judgments as to whether a resident is a “good doctor” and to provide outcome evidence regarding the program's success in developing doctors.



2021 ◽  
Author(s):  
Girish Kamal

Abstract Safety Critical Elements (SCEs) are the equipment and systems that provide the foundation of risk management associated with Major Accident Hazards (MAHs). A SCE is classified as an equipment, structure or system whose failure could cause or contribute to a major accident, or the purpose of which is to prevent or limit the effect of a major accident. Once the SCE has been ascertained, it is essential to describe its critical function in terms of a Performance Standard. Based on the Performance Standard, assurance tasks can be stated in the maintenance system to ensure that the required performance is confirmed. By analyzing the data in the maintenance system, confidence can be gained that all the SCEs required to manage Major Accidents and Environmental Hazards are functioning correctly. Alternatively, corrective actions can be taken to reinstate the integrity of the systems if shortcomings are identified. This paper shall detail out how the MAH and SCE Management process is initiated to follow the best industry practices in the identification and integrity management of major accident hazards as well as safety critical equipment. The tutorial shall describe in detail the following important stages:Identification of Major Accident HazardsIdentification of Safety Critical Equipment, involved in managing Major Accident HazardsDefine Performance Standards for these Safety Critical EquipmentExecution of the Assurance processes that maintain or ensure the continued suitability of the SCE Equipment, and that these are meeting the Performance StandardsVerification that all stages have been undertaken, any deviations being managed and thus that Major Accident Hazards are being controlled.Analyze and Improve Through the diligent application of these stages, it is possible to meet the requirements for MAH and SCE Management process giving a better understanding and control of risks in the industry.





Author(s):  
A. Hakam ◽  
J.T. Gau ◽  
M.L. Grove ◽  
B.A. Evans ◽  
M. Shuman ◽  
...  

Prostate adenocarcinoma is the most common malignant tumor of men in the United States and is the third leading cause of death in men. Despite attempts at early detection, there will be 244,000 new cases and 44,000 deaths from the disease in the United States in 1995. Therapeutic progress against this disease is hindered by an incomplete understanding of prostate epithelial cell biology, the availability of human tissues for in vitro experimentation, slow dissemination of information between prostate cancer research teams and the increasing pressure to “ stretch” research dollars at the same time staff reductions are occurring.To meet these challenges, we have used the correlative microscopy (CM) and client/server (C/S) computing to increase productivity while decreasing costs. Critical elements of our program are as follows:1) Establishing the Western Pennsylvania Genitourinary (GU) Tissue Bank which includes >100 prostates from patients with prostate adenocarcinoma as well as >20 normal prostates from transplant organ donors.



2006 ◽  
Author(s):  
Beth M. Gray ◽  
Priscilla R. Fleisher
Keyword(s):  


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