Medical Errors Management Before and After Implementation of Accreditation in Hospital

Abedi, Ghasem; Abedini, Ehsan; Malakzadeh, Roya; Mojarad, Fereshteh Araghian

doi:10.18869/acadpub.jhs.2.4.59

Cited by 4 publications

(8 citation statements)

References 7 publications

(10 reference statements)

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“…Consequently, improvement in structure and process performance measures could be expected [ 21 , 83 ]. The impact of accreditation on performance measures was the largest topic ( n = 28) explored in our review [ 8 , 18 , 19 , 28 , 48 , 51 , 54 , 60 , 68 , 79 , 87 , 90 , 96 – 111 ]. Despite the complexity and cyclicality of accreditation effects on performance measures, about three-fourths ( n = 18) of the analyzed studies showed a positive effect of accreditation on service quality at organizational and departmental levels.…”

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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“…In recent years, one of the most important problem of medical centers that threats the patient health and safety is medication errors. 1,2 These errors commonly occur during administering an intravenous drug, drawing blood, failure to use an appropriate equipment, the care procedures of patients during surgery and performing other procedures. [3][4][5][6][7][8][9] Any avoidable incidences which are occur during the process from medication request to patient monitoring is definition of medication error.…”

Section: Introductionmentioning

confidence: 99%

“…[3][4][5][6][7][8][9] Any avoidable incidences which are occur during the process from medication request to patient monitoring is definition of medication error. 1,[10][11][12][13][14] The most important effect of medication errors are economic consequences, mortality, increase adverse hospital costs and increase hospitalization time. 13,15,16 Nowadays one of the important factors in care systems is patient safety.…”

Section: Introductionmentioning

confidence: 99%

Refusing to report the medication errors observed in Ahvaz Jundishapur University of Medical Sciences during 2014–2015

Geravandi¹,

Sahebalzamani

Moghadam

et al. 2019

Clinical Epidemiology and Global Health

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The purpose of this study was evaluation of effects of healthcare reform on refusing the medication errors report by nurses of educational hospital affiliated to Ahvaz Jundishapur University of medical sciences during 2014-2015. Materials and methods: This cross-sectional study was conducted at Razi, Golestan and Emam teaching hospital of Ahvaz (a tertiary-care hospital) in the southwest of Iran. The present study was a cross-sectional study. Data about the demographic characteristics and reasons not reporting medication errors from three main educational hospital of Ahvaz were collected. Results: After processing data, the results showed 61% of medication errors report by them. Based on our result, the highest reason for refusing the medication errors observed because of fear from reporting consequences. The results of the present study showed that the most important reasons for refusing the medication errors report by nurses were related to factors related to the fear of the consequences of reporting 3.72 ± 1.532, factors related to the process of reporting were 3.50 ± 0.753 and the managerial factors 3.12 ± 1.286, respectively. Conclusion: Regarding the etiology of medication errors, Escherichia coli were the most frequent pathogen. The finding of this study showed that the encouraging hospital managers to give a positive response to them, encouraging nurses to reporting errors without any stress and paying attention to local standards can be reduce number of medication errors.

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“…Medication errors are one of the most important threats for patients' safety. It is an old problem of hospitals and medical centers (1,2). Administration of intravenous drugs, failure to use appropriate equipment, drawing blood, and monitoring patients during surgery are the most important reasons for medication errors (3)(4)(5)(6)(7)(8)(9).…”

Section: Introductionmentioning

confidence: 99%

“…Administration of intravenous drugs, failure to use appropriate equipment, drawing blood, and monitoring patients during surgery are the most important reasons for medication errors (3)(4)(5)(6)(7)(8)(9). Medication errors can be solved in any environment with patient's admission (1,10). Medication error is any damage, risk, and avoidable incidences occurred during the medication practices in order to monitor the patients (11)(12)(13)(14).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Refusing the Medication Errors Report by Nurses of Golestan Educational Hospital After the Healthcare Reform From 2014 to 2015

et al. 2017

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Background: Patients' safety is one of the most important factors in health care system, which medication errors can threat it. It is of great importance to identify factors that cause medication errors. Objectives: The current study aimed at evaluating refusal to report the medication errors by nurses in Golestan educational Hospital after the healthcare reform from 2014 to 2015. Methods: The current cross sectional study was conducted in Golestan educational hospital of Ahvaz, Iran, after the healthcare reform from 2014 to 2015, prospectively. The data collection tool was a questionnaire including 2 parts, demographic characteristics and reasons "not to report medication errors". The results were analyzed by Excel and SPSS 16.0. Results: The results showed that 64% of medication errors were reported by the subjects. Among all causes, fear of reporting consequences had the highest score. The results showed that the most important reasons not to report medication errors were related to the fear of the consequences of reporting (3.64 ± 1.226). Factors related to the process of reporting were 3.41 ± 0.867 and managerial factors were 3.08 ± 1.126, respectively. Conclusions: According to the results of the current study, some hospitals could reduce not reporting medication errors by paying attention to local standards, encouraging nurses to report medical errors, encouraging hospital managers to give a positive response to them, and promoting an effective communication with nursing staff for reporting errors, without any stress.

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Medical Errors Management Before and After Implementation of Accreditation in Hospital

Cited by 4 publications

References 7 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

Refusing to report the medication errors observed in Ahvaz Jundishapur University of Medical Sciences during 2014–2015

Evaluation of Refusing the Medication Errors Report by Nurses of Golestan Educational Hospital After the Healthcare Reform From 2014 to 2015

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