Factors affecting implementation of accreditation programmes and the impact of the accreditation process on quality improvement in hospitals: a SWOT analysis

Ng, Gloria Kb; Leung, Gilberto Ka Kit; Johnston, Janice M.; Cowling, Benjamin J.

doi:10.12809/hkmj134063

Cited by 75 publications

(90 citation statements)

References 45 publications

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“…3,6,9 In line with this assertion, the interviewed professionals referred that the cancelation of the certification did not directly impose the loss of important Accreditation principles: [ The abovementioned excerpts are considered very important because, as mentioned, the Accreditation process may or may not result in a quality certification. Nevertheless, due to the fact that its logic is essentially based on the organization's continuing education instead of the bureaucratic form of surveillance, 3,5 it is clear that, despite the plausible suffering caused to the professionals deriving from the cancelation of the certification, the organization seems to have understood the essence of the Accreditation process because the professionals' reports indicate that the cancelation by itself did not impose the complete loss of the process.…”

Section: Disqualification Of the Certification: Insufficient Motive Tmentioning

confidence: 83%

“…That is important because the Accreditation develops ongoing cycles of learning and improvements that culminate in the enhancement of the health care quality and this means much more than the certification itself. 6 The quality tools are techniques used to define, measure, analyze and propose solutions to problems that can interfere in the work process and; in the context of the accreditation, the use of the PDCA (Plan, Do, Check, Act) cycle is highlighted; flow charts; checklists, brainstorming and others, adapted to the reality and needs of the organization. 2 In that sense, it is apparent that the above citations are relevant, as they converge to the reflection that, despite having lost the accreditation certificate, the hospital continues using the quality tools.…”

Section: Disqualification Of the Certification: Insufficient Motive Tmentioning

confidence: 99%

“…Examples include the enhancement of the organizational culture in favor of quality; effective communication; strengthening of the multidisciplinary team; standardization of techniques and; improvements in medication prescription and administration. [5][6][7] In Brazil, the participation of health institution in the Accreditation process is still voluntarily and not characterized as a responsibility of the State. 8 Thus, the institutions concerned may request a national and/or international Accreditation through non-governmental or non-profit organizations.…”

Section: Introductionmentioning

confidence: 99%

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Disqualification of Certification by Hospital Accreditation: Perceptions of Professional Staff

Oliveira

Matsuda²

2016

Texto contexto - enferm.

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Descriptive, exploratory, qualitative study that aimed to analyze the perceptions of professional certification disqualification by the Hospital Accreditation. A hospital was selectedthat lost the title of Accredited with Excellence. Twenty-three professionals participated who were working in care or hospital management who, in May 2014, answered a semi-structured interview, recorded and guided by the question: "Tell me about the disqualification of the certification of this hospital by the Accreditation". Based on the transcription and thematic analysis of the interviews, three categories emerged: disqualification of certification by Accreditation: grounds mentioned by workers; negative feelings related to the certification of the discredit and Accreditation; Certification disqualification: insufficient reason for abandoning principles of Accreditation. It was concluded that the loss of certification by the Accreditation caused a deep sense of regret among workers. Nevertheless, to favor the quality of care, participants signaled that the essential principles of Accreditation and some implemented actions remain at the service. DESCRIPTORS:Hospital accreditation. Quality management. Quality assurance, health care. Nursing. DESCREDENCIAMENTO DA CERTIFICAÇÃO PELA ACREDITAÇÃO HOSPITALAR: PERCEPÇÕES DE PROFISSINAISRESUMO: Estudo descritivo-exploratório, qualitativo, que objetivou analisar as percepções de profissionais acerca do descredenciamento da certificação pela Acreditação hospitalar. Selecionou-se um hospital que perdeu o título de Acreditado com Excelência. Participaram 23 profissionais ligados à assistência ou à gestão hospitalar que, em maio de 2014, responderam a uma entrevista semiestruturada, gravada e norteada pela questão: "Fale-me sobre o descredenciamento da certificação deste hospital, pela Acreditação". Da transcrição e análise temática do conteúdo das entrevistas, foram apreendidas três categorias: descredenciamento da certificação pela Acreditação: causas referidas por trabalhadores; sentimentos negativos relacionados ao descredenciamento da certificação pela Acreditação e; descredenciamento da certificação: motivo insuficiente para o abandono de princípios da Acreditação. Concluiu-se que a perda da certificação pela Acreditação causou sentimento profundo de pesar nos trabalhadores. Apesar disso, por favorecer a qualidade da assistência, os participantes sinalizaram que os princípios essenciais da Acreditação e algumas ações implantadas permanecem no serviço.DESCRITORES: Acreditação hospitalar. Gestão da qualidade. Avaliação da qualidade dos cuidados de saúde. Enfermagem. DESCREDENCIAMIENTO DE LA CERTIFICACIÓN POR ACREDITACIÓN HOSPITALARIA: PERCEPCIONES DE LOS PROFISSIONALESRESUMEN: Estudio descriptivo-exploratorio, cualitativo, con objetivo analizar las percepciones de profesionales sobre la inhabilitación de la certificación por Acreditación Hospitalaria. Fue seleccionado un hospital que perdió el título de Acreditación con Excelencia. Con la asistencia de 23 profesionales que trabaj...

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Section: Disqualification Of the Certification: Insufficient Motive Tmentioning

confidence: 83%

Section: Disqualification Of the Certification: Insufficient Motive Tmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Disqualification of Certification by Hospital Accreditation: Perceptions of Professional Staff

Oliveira

Matsuda²

2016

Texto contexto - enferm.

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“…The accreditation process requires that the accrediting body recognizes that a healthcare organization is complying with standards including environmental aspects. Further on, within the hospital setting a multidisciplinary team should be responsible to improve environmental management practices and performance [1].…”

Section: Introductionmentioning

confidence: 99%

The Challenges Hindering the Implementation of Environmental Management Practices in Hospitals

Massoud¹,

Nasserddine²,

Yassin³

et al. 2017

WIT Transactions on Ecology and the Environment

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Healthcare services aim to reduce health problems and to prevent potential health risks. However, in doing so, waste is often generated that can adversely affect public health and the environment. This environmental impact is often neglected or overlooked, possibly due to the fact that non-clinical programs are generally not funded, and pollution prevention programs require a shift in thinking. Moreover, environmental management practices are mostly not compliance-driven. This research aims to: assess the perception of concerned stakeholders in hospitals in Lebanon, with regards to environmental standards and the impacts of their activities on the environment; investigate the challenges of implementing environmental management practices; and identify possible enhancing factors. Accordingly, in-depth interviews were conducted with concerned stakeholders from hospitals with different sizes. Thematic analysis was employed to thoroughly examine and evaluate the transcripts comprehensively, following the set objectives of the research. Findings revealed that the main challenges hindering the implementation of environmental management practices in hospitals are primarily employee resistance, lack of financial resources and qualified personnel, lack of awareness, lack of treatment methods and lack of support from the government. The enhancing factors that were recommended by the stakeholders revolve around financial support, training programs, rewards systems and improvement of standards. Developing sustainable environmental management practices requires a change in staff behaviour, which often occurs through ongoing staff education and training. Strengthening human and institutional capacity through a combination of training, technical assistance, and awareness programs is an essential initial step toward realizing effective environmental management practices.

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“…[27][28][29][30] It is observed that, despite the MS having instituted the PNSP, in order to minimize the damages resulting from health care, two hospital organizations are still in the implementation phase of patient safety strategies. This may be due to hospitals' difficulties in developing a positive safety culture.…”

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confidence: 99%

Nurse Manager Perceptions of Patient Safety Strategy Implementation

Reis¹,

Hayakawa²,

Murassaki³

et al. 2017

Texto contexto - enferm.

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Objective: to describe the patient safety strategy implantation process through the perspective of nurse managers.Method: a qualitative descriptive-exploratory approach, performed with 72 nurse managers from four public university hospitals in Paraná. The data were collected through a recorded interview, guided by the question: "Tell me about your experience regarding the process of implantation of patient safety strategies?" and was submitted for content, thematic and modality analysis.Results: categories resulting from the analysis: Understanding the trajectory of patient safety strategy implantation; Multiple phases of patient safety strategy implantation; and Ambiguous feelings related to patient safety strategy implantation.Conclusion: in the investigated institutions, despite the process of patient safety strategy implantation being perceived in a contradictory way by the participants, they expressed feelings of satisfaction. DESCRIPTORS:Nursing. Patient safety. Security management. Perception. Risk management. IMPLANTAÇÃO DAS ESTRATÉGIAS DE SEGURANÇA DO PACIENTE: PERCEPÇÕES DE ENFERMEIROS GESTORES RESUMOObjetivo: descrever, na percepção de enfermeiros gestores, o processo de implantação das estratégias de segurança do paciente.Método: pesquisa descritivo-exploratória, de abordagem qualitativa, realizada com 72 enfermeiros gestores de quatro hospitais universitários públicos paranaenses. Os dados foram coletados por meio de entrevista gravada, norteada pela questão: Fale-me do processo de implantação das estratégias de segurança do paciente deste hospital, vivenciado pelo senhor/senhora/você e submetidos à análise de conteúdo, modalidade temática.Resultados: da análise das entrevistas, emergiram as categorias: Compreendendo a trajetória de implantação das estratégias de segurança do paciente; Múltiplas fases de implantação das estratégias de segurança do paciente; e Sentimentos ambíguos relacionados à implantação das estratégias de segurança do paciente.Conclusão: nas instituições investigadas, o processo de implantação das estratégias de segurança do paciente é percebido de forma contraditória pelos participantes, mas, apesar disso, emitiram sentimentos de satisfação. DESCRITORES:Enfermagem. Segurança do paciente. Gestão da segurança. Percepção. Gestão de riscos.Texto Contexto Enferm, 2017; 26(2):e00340016Reis GAX, Hayakawa LY, Murassaki ACY, Matsuda LM, Gabriel CS, Oliveira MLF 2/9 IMPLANTACION DE LAS ESTRATEGIAS DE SEGURIDAD DEL PACIENTE: PERCEPCIONES DE ENFERMEROS GESTORES RESUMENObjetivo: describir en la percepción de enfermeros gestores, el proceso de implantación de las estrategias de seguridad del paciente.Método: investigación descriptiva-exploratoria, de abordaje cualitativa, realizada con 72 enfermeros gestores de cuatro hospitales universitarios públicos paranaenses. Los datos fueron recolectados por medio de entrevista grabada, norteada por la pregunta: Hábleme del proceso de implantación de las estrategias de seguridad del paciente de este hospital, vivenciado por usted y sometidos a ...

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Factors affecting implementation of accreditation programmes and the impact of the accreditation process on quality improvement in hospitals: a SWOT analysis

Cited by 75 publications

References 45 publications

Disqualification of Certification by Hospital Accreditation: Perceptions of Professional Staff

Disqualification of Certification by Hospital Accreditation: Perceptions of Professional Staff

The Challenges Hindering the Implementation of Environmental Management Practices in Hospitals

Nurse Manager Perceptions of Patient Safety Strategy Implementation

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