A prospective, multi-method, multi-disciplinary, multi-level, collaborative, social-organisational design for researching health sector accreditation [LP0560737]

Braithwaite, Jeffrey; Westbrook, Johanna I.; Pawsey, Marjorie; Greenfield, David; Naylor, Justine; Iedema, Rick; Runciman, William B.; Redman, Sally; Jorm, Christine; Robinson, Maureen; Nathan, Sally; Gibberd, Robert

doi:10.1186/1472-6963-6-113

Cited by 96 publications

(90 citation statements)

References 41 publications

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“…[1,26] Healthcare accreditation is an indicator of the quality of medical care, and this system is being implemented in various countries worldwide. [27,28] The ultimate goal of accreditation is to provide high quality and safe care to the consumer by promoting positive changes in medical institutions. [29] The findings presented here suggest that accreditation is an effective tool for improving the quality of healthcare.…”

Section: Discussionmentioning

confidence: 99%

The perception of healthcare employees and the impact of healthcare accreditation on the quality of healthcare in Korea

Park¹,

Jung²,

Suk

2017

JHA

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Objective: In order to encourage more hospitals to participate in the accreditation, there needs to be "substantial evidence of the effectiveness of accreditation". The aim of this study was to identify and analyze healthcare employees' perceptions of hospital accreditation and the impact of hospital accreditation on the quality of healthcare in Korea. Methods: Eight electronic databases were searched between June and July 2016. Of the initially identified 392 abstracts, 14 empirical studies on healthcare accreditation in Korea were selected based on the inclusion criteria. These were retrieved and analyzed. Results: The 14 studies assessed healthcare employees' perception of hospital accreditation as well as the impact of hospital accreditation on the quality of healthcare. The results were classified into four categories according to perception (Need, Purpose, Intent, and Relevance of standards), and into five categories according to the impact of accreditation (Patient safety and healthcare quality, Satisfaction with hospital employees, Leadership, Organizational culture, and Managerial performance). Findings showed that healthcare employees' had good understanding of the purpose, need, and intention of the healthcare accreditation system, but indicated that limitations exist with the accreditation standards. Moreover, evidence showed that healthcare accreditation in Korea has made a positive impact on "patient safety and healthcare quality", "leadership" and "organizational culture". Conclusions: Healthcare accreditation has had a positive overall impact on hospitals and has improved the quality of healthcare as well as patient safety. However, more rigorous research and more diverse research methods are required to determine its long-term effect.

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Section: Discussionmentioning

confidence: 99%

The perception of healthcare employees and the impact of healthcare accreditation on the quality of healthcare in Korea

Park¹,

Jung²,

Suk

2017

JHA

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“…9 Accreditation of health service systems is widely considered to be a driver of quality. 24 However, the effect of such accreditation on healthcare quality is stated to be uncertain and warranting more study. 25 Our study is highly responsive to such a call.…”

Section: Efficacy Effectiveness and Health Policymentioning

confidence: 99%

A Multicenter Prospective Comparative Effectiveness Study of the Effect of Physician Certification and Center Accreditation on Patient-Centered Outcomes in Obstructive Sleep Apnea

Parthasarathy

Subramanian²,

Quan

2014

Journal of Clinical Sleep Medicine

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than those who did not receive such sleep specialist consultation. 8 Recently, a randomized controlled non-inferiority trial reported that treatment of OSA by primary care physicians was non-inferior to that of sleep specialists with regard to resolution Objectives: To study the effect of sleep center accreditation and Sleep Medicine board certifi cation of physicians on patient-centered outcomes in obstructive sleep apnea (OSA). Design: Prospective, multicenter, comparative effectiveness study. Setting: Four sleep centers Patients: 502 patients with OSA. Interventions: None. Measurements and Results: Patients at two accredited and two non-accredited centers underwent polysomnography at participating locations and completed validated questionnaires, with objective measurement of positive airway pressure (PAP) therapy adherence performed three months after therapy initiation. The proportion of patients (age 53 ± 13[SD] years; 26% women; and body mass index 33.6 ± 7.2 kg/m 2 ) who were adherent to PAP therapy by Medicare guidelines (> 70% of nights with ≥ 4 h use over a 30-day period) was greater in accredited (79%) than non-accredited sites (64%; p = 0.004). After adjustment for confounding variables, patients who received care from accredited centers (odds ratio [OR] 2.2, 95% confi dence interval [CI], 1.2-4.2; p = 0.016) and certifi ed physicians (OR 2.3, 95% CI, 1.3-4.0; p = 0.005) were more likely to be adherent to PAP therapy than those who received care from non-accredited centers and non-certifi ed physicians. Patient satisfaction was associated with greater education received from physician (OR 4.6; 95% CI 2.3-9.3); greater risk perception (OR 2.7; 95% CI 1.0-7.4); physician certifi cation (OR 2.1; 95% CI 1.1-4.2); and inversely related to delays in care (OR 0.5; 95% CI 0.3-0.9; p < 0.05). Such delays were inversely related to accreditation-certifi cation status (p < 0.0001). Conclusions:In patients with OSA, accreditation-certifi cation status of sleep centers and physicians was associated with better PAP adherence, better patient education, better patient satisfaction, and greater timeliness. S C I E N T I F I C I N V E S T I G A T I O N SH ealth care delivery in many disease conditions including obstructive sleep apnea (OSA) will be increasingly driven by quality metrics.1-3 One of the important quality metrics for OSA-adherence to positive airway pressure (PAP) therapyremains a huge problem, with adherence of greater than four hours of daily use ranging from 46% to 83%. 4,5 There is much emphasis on patient-centered care that focuses on outcomes relevant to patients such as improving patient satisfaction and enhancing the patient experience. 6 We have previously shown that in a cross-sectional national survey, patients with OSA cared for by American Academy of Sleep Medicine (AASM) accredited sleep centers or Sleep Medicine board-certifi ed physicians had lower positive airway pressure (PAP) discontinuation rates and reported greater patient satisfaction than patients cared for by non-accredited cent...

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“…A acreditação compreende a certificação de um programa, serviço, organização, instituição ou agência de acordo com critérios pré-determinados, expressados geralmente como padrões, estruturas e processos tipicamente de medição (2)(3) .…”

Section: Nou-se Na Joint Commission On Accreditation Of Healthcare Orunclassified

Instrumentos Para Avaliação De Resultados De Programas De Melhoria Da Qualidade: Revisão Integrativa

Caldana

Hirotani

Gabriel

et al. 2018

Rev. baiana enferm.

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<pre><strong> </strong></pre><p>Objetivo: avaliar os resultados de programas de melhoria da qualidade no contexto hospitalar. Método: revisão integrativa de artigos publicados, no período de 2003 a 2016, nas bases de dados MEDLINE, LILACS e CINAHL. Resultados: foram identificados 12 instrumentos com diferentes métodos de avaliação, a saber: questionários, entrevistas semiestruturadas, checklists, análise documental e estudos de caso. Conclusão: os estudos destacaram que os resultados de programas de melhoria da qualidade no contexto hospitalar registraram melhora na qualidade assistencial, na segurança e satisfação do paciente e na infraestrutura. Descritores: Acreditação. Garantia da qualidade dos cuidados de saúde. Questionários.</p>

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A prospective, multi-method, multi-disciplinary, multi-level, collaborative, social-organisational design for researching health sector accreditation [LP0560737]

Cited by 96 publications

References 41 publications

The perception of healthcare employees and the impact of healthcare accreditation on the quality of healthcare in Korea

The perception of healthcare employees and the impact of healthcare accreditation on the quality of healthcare in Korea

A Multicenter Prospective Comparative Effectiveness Study of the Effect of Physician Certification and Center Accreditation on Patient-Centered Outcomes in Obstructive Sleep Apnea

Instrumentos Para Avaliação De Resultados De Programas De Melhoria Da Qualidade: Revisão Integrativa

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