Health Professional's Perception toward Impact of Hospital Accreditation on Quality of Care in Asia: A Systematic Review

Agustine, Elisabeth Dewi; Pujiyanto, Pujiyanto

doi:10.5958/0976-5506.2019.00621.1

Cited by 5 publications

(11 citation statements)

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“…This finding was identified as a perceived contributing factor in improving the process in most previous studies and not as a benefit of accreditation. 8 , 9 …”

Section: Discussionmentioning

confidence: 99%

“…The study subjects were identified either directly by the researcher, through the Directorate of Quality and Safety (DQS), the department heads, or other participants. 9 …”

Section: Methodsmentioning

confidence: 99%

“…A more engaged hospital leadership which communicates better with employees at all levels 1 “… by forming committees and through teamwork and tasks forces and most of these committees are involved with the hospital’s leadership or the hospital’s director.” 6. Improved processes due to the standardization of processes 9 “That is what we call the standardization of this, and this is the benefit that we got from the JCI.” 7. Creating an organizational culture that supports quality improvement efforts and the promotion of a culture of patient safety 4 “People are talking about KPIs talking about sentinel events reporting.…”

Section: Esultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…8 Additionally, a systematic literature review conducted by Agustine & Pujiyanto concluded that the majority of studies reported that various health professionals perceived the effect of accreditation as positive in improving health services. 9 Despite the abundance of literature on this topic, no previous studies aimed to assess the impact of accreditation on quality outcomes while providing context. To accomplish this goal, this research was the first to utilize a Convergent parallel mixed method approach to assessing the effectiveness of the JCIA in improving quality outcomes while investigating perceptions of health professionals and employees at KFHU.…”

Section: Introductionmentioning

confidence: 99%

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The Effectiveness of the Joint Commission International Accreditation in Improving Quality at King Fahd University Hospital, Saudi Arabia: A Mixed Methods Approach

Shawan

2021

JHL

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Introduction Saudi Arabia has one of the highest numbers of health organizations accredited by the Joint Commission International. This study aimed to measure this process’s effectiveness in improving quality at King Fahd Hospital of the University in Khobar, Saudi Arabia. Additionally, the study investigated health providers’ perceptions of this process. Materials and Methods This research utilized a convergent parallel mixed method. For the quantitative analysis, an interrupted time series was conducted to assess the changes in a total of 12 quality outcomes pre- and post-accreditation. Thematic analysis was utilized to collect and analyze qualitative data from hospital employees and health providers. Results The quantitative results indicated that pursuing accreditation positively impacted nine out of 12 outcomes. The improved outcomes included: the average length of stay, the percentage of hand hygiene compliance, the rate of nosocomial infections, the percentage of radiology reporting outliers, the rate of pressure ulcers, the percentage of the correct identification of patients, the percentage of critical lab reporting, and the bed occupancy rate. The outcomes that did not improve were the rate of patients leaving the ER without being seen, the percentage of OR cancelations, and the rate of patient falls. The qualitative analysis suggested that the accreditation process was perceived positively by participants. Nevertheless, participants also highlighted some of the drawbacks of this process, including: the potential bias in observation-based key performance indicators, the focus on improving process without enhancing the hospital structure, and the increased workload. Conclusion International accreditation had a positive impact on quality and was received positively by providers. However, several issues need to be addressed by hospital administrators in future accreditation cycles. According to participants, the most notable issue during the first two accreditation cycles was the increased workload and paperwork, which can potentially distract from patient care.

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“…This finding was identified as a perceived contributing factor in improving the process in most previous studies and not as a benefit of accreditation. 8 , 9 …”

Section: Discussionmentioning

confidence: 99%

“…The study subjects were identified either directly by the researcher, through the Directorate of Quality and Safety (DQS), the department heads, or other participants. 9 …”

Section: Methodsmentioning

confidence: 99%

Section: Esultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Effectiveness of the Joint Commission International Accreditation in Improving Quality at King Fahd University Hospital, Saudi Arabia: A Mixed Methods Approach

Shawan

2021

JHL

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Exploration of barriers and facilitators to the implementation of the DREPADO randomized controlled trial: A qualitative study

Bourron

Cannas

Janoly‐Dumenil

et al. 2022

Journal of Pediatric Nursing

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Perception of Health Care Professionals Toward Hospital Accreditation at Johns Hopkins Aramco Healthcare

Al-Sayedahmed,

Al-Qaaneh,

Al-Tawfiq

et al. 2023

Quality Management in Health Care

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Background and Objectives: The quality of health care relies on achieving the best quality and patient safety goals, and accreditation plays a fundamental role in achieving these goals through compliance with standards that guide excellence. Accreditation also helps streamline operations and supports evidence-based quality improvement plans. This study aims to evaluate the perception of health care professionals on the accreditation process and its impact on the quality of health care and patient safety. Methods: This is a cross-sectional questionnaire survey distributed via the SuccessFactors website and made accessible to all hospital staff. Results: The online questionnaire was completed by 2047 participants, representing 51% of the entire hospital staff at Johns Hopkins Aramco Healthcare (JHAH). Overall analysis indicated a positive perception of accreditation benefits among health care employees (as indicated by participation in accreditation activities and/or preparation for the survey visits) and reflected on patient health care quality and safety dimensions, with an overall Likert median score of 4.0 (interquartile range = 3.7-5.0; P < .05). Conclusion: The outcomes of our study confirm that JHAH employees perceived a positive impact of accreditation on health care quality improvement and patient safety. Also, the study supports considering accreditation as a fundamental requirement to improve health care system processes. However, it is critical to sustain quality of services over time during accreditation cycles.

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Health Professional's Perception toward Impact of Hospital Accreditation on Quality of Care in Asia: A Systematic Review

Cited by 5 publications

References 0 publications

The Effectiveness of the Joint Commission International Accreditation in Improving Quality at King Fahd University Hospital, Saudi Arabia: A Mixed Methods Approach

The Effectiveness of the Joint Commission International Accreditation in Improving Quality at King Fahd University Hospital, Saudi Arabia: A Mixed Methods Approach

Exploration of barriers and facilitators to the implementation of the DREPADO randomized controlled trial: A qualitative study

Perception of Health Care Professionals Toward Hospital Accreditation at Johns Hopkins Aramco Healthcare

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