Effect of accreditation on length of stay in psychiatric inpatients: pre-post accreditation medical record comparison

Al-Sughayir, Mohammed A.

doi:10.1186/s13033-016-0090-6

Cited by 15 publications

(17 citation statements)

References 25 publications

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“…Several studies consistently indicated a lack of relationship between accreditation and hospital 30-day readmission rate in various contexts [ 21 , 84 , 89 , 90 ], whereas other studies presented contradictory effects on healthcare-associated infections [ 25 , 85 , 91 , 92 ]. However, studies reported a consistently positive impact of accreditation on hospital [ 84 , 86 , 89 , 93 ] and departmental [ 91 , 94 , 95 ] patient length of stay.…”

Section: Resultsmentioning

confidence: 99%

The impact of hospital accreditation on the quality of healthcare: a systematic literature review

Hussein

Pavlova

Ghalwash³

et al. 2021

BMC Health Serv Res

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Background Accreditation is viewed as a reputable tool to evaluate and enhance the quality of health care. However, its effect on performance and outcomes remains unclear. This review aimed to identify and analyze the evidence on the impact of hospital accreditation. Methods We systematically searched electronic databases (PubMed, CINAHL, PsycINFO, EMBASE, MEDLINE (OvidSP), CDSR, CENTRAL, ScienceDirect, SSCI, RSCI, SciELO, and KCI) and other sources using relevant subject headings. We included peer-reviewed quantitative studies published over the last two decades, irrespective of its design or language. Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, two reviewers independently screened initially identified articles, reviewed the full-text of potentially relevant studies, extracted necessary data, and assessed the methodological quality of the included studies using a validated tool. The accreditation effects were synthesized and categorized thematically into six impact themes. Results We screened a total of 17,830 studies, of which 76 empirical studies that examined the impact of accreditation met our inclusion criteria. These studies were methodologically heterogeneous. Apart from the effect of accreditation on healthcare workers and particularly on job stress, our results indicate a consistent positive effect of hospital accreditation on safety culture, process-related performance measures, efficiency, and the patient length of stay, whereas employee satisfaction, patient satisfaction and experience, and 30-day hospital readmission rate were found to be unrelated to accreditation. Paradoxical results regarding the impact of accreditation on mortality rate and healthcare-associated infections hampered drawing firm conclusions on these outcome measures. Conclusion There is reasonable evidence to support the notion that compliance with accreditation standards has multiple plausible benefits in improving the performance in the hospital setting. Despite inconclusive evidence on causality, introducing hospital accreditation schemes stimulates performance improvement and patient safety. Efforts to incentivize and modernize accreditation are recommended to move towards institutionalization and sustaining the performance gains. PROSPERO registration number CRD42020167863.

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Section: Resultsmentioning

confidence: 99%

The impact of hospital accreditation on the quality of healthcare: a systematic literature review

Hussein

Pavlova

Ghalwash³

et al. 2021

BMC Health Serv Res

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“…Second, the administrative database did not include some important variables that may affect prolonged LOS, such as detailed clinical information and clinical ratings, although the database has a large sample size and detailed procedural information. Indeed, the database also did not include variables reported to affect LOS: hospital accreditation; use of community care; community activities; and social status, such as living alone . Third, we used prolonged LOS as a proxy measure and believe most patients were discharged as they reached their treatment end‐point; however, some of them may have been discharged for other reasons.…”

Section: Discussionmentioning

confidence: 99%

Factors affecting prolonged length of stay in psychiatric patients in Japan: A retrospective observational study

Shinjo

Tachimori

Sakurai

et al. 2017

Psychiatry Clin Neurosci

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Not only clinical factors but also institutional characteristics were associated with prolonged LOS. Our study provided useful information for improvement in psychiatric services and indicated the need to consider the division of roles between healthcare/welfare institutions and psychiatric-related resource allocation. Interventions should be considered for achieving shorter LOS for psychiatric patients.

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“…Approximately more than two third of the impact studies were carried out in the developed nations ( n = 49). A total of 22 research studies on impact of accreditation were carried out in the USA (Gebhart et al , 2014; Kwon et al , 2013; Lichtman et al , 2011; Lutfiyya et al , 2009; Menachemi et al , 2008; Morton et al , 2014; Ross et al , 2008; Schmaltz et al , 2011; Telem et al , 2015; Thornlow and Merwin, 2009; Wagner et al , 2012) and Saudi Arabia (Aboshaiqah et al , 2016; Almasabi and Thomas, 2017; Al-Awa et al , 2011a, 2011b, 2012; Al-Qahtani et al , 2012; Al Shammari et al , 2015; Al-Sughayir, 2016, 2017; Seada, 2012). There were 13 studies that assessed the impact of accreditation in low or middle income countries (Ajarmah and Hashem, 2015; Al Tehewy et al , 2009; Bahadori, 2018; El-Jardali et al , 2008, 2011, 2014; Haj-Ali et al , 2014; Hayati et al , 2010; Kim et al , 2010; Mohebbifar et al , 2017; Quimbo et al , 2008; Saif, 2016; Yildiz and Kaya, 2014) as per the World Bank classifications.…”

Section: Resultsmentioning

confidence: 99%

Impact of accreditation on performance of healthcare organizations

Swathi¹,

Barkur

Somu

2020

IJQSS

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Purpose The purpose of this paper is to review the accreditation research in specific to its effect on the performance of healthcare organizations. Design/methodology/approach A comprehensive search and analysis of literature on the effect of healthcare accreditation were conducted between June 2017 and May 2018. The study identified 62 empirical research studies that examined the effect of healthcare accreditation programmes. Study particulars such as year of publication, objectives, focus of the study, research settings and key findings were recorded. A content analysis was performed to identify the frequency of the main themes in the literature. Knowledge gaps needing further examination were identified. Findings Majority of the accreditation impact studies were carried out in the developed nations (n = 49). The thematic categories, that is the impact on “patient safety and healthcare quality” (n = 26), “healthcare professionals’ views” (n = 28) and “clinical process and outcomes” (n = 17) were addressed more times. Whereas the other two thematic categories “organizational performance” and “consumers’ views or satisfaction,” each was examined less than 10 instances. This review reveals mixed views on effect of healthcare accreditation. The varied quality of studies and the availability of a few studies on consumers’ perception of accreditation effectiveness were the important limiting factors of this review. Originality/value The findings are valuable to healthcare managers and hospital administrators in accreditation decisions, whereas findings are of value to researchers and academicians in terms of gaps identified for future research studies pertaining to the impact of healthcare accreditation. Future studies need to consider holistic theoretical frameworks for assessing the effect of accreditation on performance of healthcare organizations to achieve precise results.

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Effect of accreditation on length of stay in psychiatric inpatients: pre-post accreditation medical record comparison

Cited by 15 publications

References 25 publications

The impact of hospital accreditation on the quality of healthcare: a systematic literature review

The impact of hospital accreditation on the quality of healthcare: a systematic literature review

Factors affecting prolonged length of stay in psychiatric patients in Japan: A retrospective observational study

Impact of accreditation on performance of healthcare organizations

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