Hospital Patient Safety: Characteristics of Best-Performing Hospitals

Longo, Daniel R.; Hewett, John E.; Ge, Bin; Schubert, Shari

doi:10.1097/00115514-200705000-00009

Cited by 30 publications

(22 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Interviewees reported that accreditation led to a higher concern with patient safety as an aspect of healthcare quality which resulted in significant quality and patient safety improvements, including the establishment of a generalized patient safety culture. These observations are in line with studies conducted by Hosford (2008) who recognised accreditation as an effective intervention to drive patient safety improvements and by Longo et al (2007) who identified accreditation as the key predictor of the implementation of patient safety systems. The findings are also consistent with previous studies that reported that over time accredited hospitals significantly saw greater progress on quality (Schmaltz et al, 2011) and patient safety systems (Longo et al, 2007) than nonaccredited hospitals.…”

Section: Discussionsupporting

confidence: 88%

The impact of accreditation on healthcare quality improvement: a qualitative case study

Melo

2016

JHOM

View full text Add to dashboard Cite

Journal of Health Organization and Management r n a l o f H e a l t h O r g a n i z a t i o n a n d M a n a g e m e1 The impact of accreditation on healthcare quality improvement: a qualitative case study Abstract PurposeResearch on accreditation has mostly focused on assessing its impact using large scale quantitative studies, yet little is known on how quality is improved in practice through an accreditation process. Using a case study of an acute teaching hospital in Portugal, the article aims at exploring the dynamics through which accreditation can lead to an improvement in the quality of healthcare services provided. Design/methodology/approachData for the case study was collected through 46 in-depth semi-structured interviews with 49 clinical and non-clinical members of staff. Data were analysed using a framework thematic analysis. FindingsInterviewees felt that hospital accreditation contributed to the improvement of healthcare quality in general, and more specifically to patient safety, as it fostered staff reflection, a higher standardization of practices, and a greater focus on quality improvement. However, findings also suggest that the positive impact of accreditation resulted from the approach the hospital adopted in its implementation as well as the fact that several of the procedures and practices required by accreditation were already in place at the hospital, albeit often in an informal way. Research limitations/implicationsThe study was conducted in only one hospital. The design of an accreditation implementation plan tailored to the hospital's context can significantly contribute to positive outcomes in terms of quality and patient safety improvements. Originality/valueThis study provides a better understanding of how accreditation can contribute to healthcare quality improvement. It offers important lessons on the factors and processes that potentiate quality improvements through accreditation.

show abstract

Section: Discussionsupporting

confidence: 88%

The impact of accreditation on healthcare quality improvement: a qualitative case study

Melo

2016

JHOM

View full text Add to dashboard Cite

show abstract

“…1,19,20 Some research has shown that accreditation can improve the effectiveness and efficiency of operations and help standardize procedures, primarily structures, and processes in patient care. [21][22][23] In teaching hospitals, the importance of accreditation in strengthening both undergraduate and postgraduate training programs has been demonstrated.…”

Section: Discussionmentioning

confidence: 99%

Effects of Hospital Accreditation on Medical Students

Chang

Chiu

et al. 2014

Academic Medicine

View full text Add to dashboard Cite

show abstract

“…In the United States (US), accredited hospitals have generally shown modest improvements in performance compared with non-accredited hospitals; for example, accredited hospitals provided better emergency response planning (6,7), training (8) and patient safety system initiation and implementation (9), and performed better in care of acute myocardial infarction, heart failure and pneumonia (6,7,10). Other studies, however, have found no such relationships (11)(12)(13).…”

Section: Introductionmentioning

confidence: 99%

Value and impact of international hospital accreditation: a case study from Jordan

Halasa¹,

Zeng²,

Chappy³

et al. 2015

East Mediterr Health J

View full text Add to dashboard Cite

We assessed the economic impact of Joint Commission International hospital accreditation on 5 structural and outcome hospital performance measures in Jordan. We conducted a 4-year retrospective study comparing 2 private accredited acute general hospitals with matched non-accredited hospitals, using differencein-differences and adjusted covariance analyses to test the impact and value of accreditation on hospital performance measures. Of the 5 selected measures, 3 showed statistically significant effects (all improvements) associated with accreditation: reduction in return to intensive care unit (ICU) within 24 hours of ICU discharge; reduction in staff turnover; and completeness of medical records. The net impact of accreditation was a 1.2 percentage point reduction in patients who returned to the ICU, 12.8% reduction in annual staff turnover and 20.0% improvement in the completeness of medical records. Pooling both hospitals over 3 years, these improvements translated into total savings of US$ 593 000 in Jordan's health-care system. RÉSUMÉ Nous avons évalué l'impact économique d'une accréditation internationale des hôpitaux attribuée par une commission conjointe sur cinq mesures de la performance des hôpitaux en termes de structure et de résultats en Jordanie. Nous avons mené une étude rétrospective sur quatre ans, comparant deux hôpitaux généraux de soins aigus privés et accrédités avec des hôpitaux appariés sans accréditation. Nous avons utilisé des analyses de la covariance ajustée et de l'écart des différences pour évaluer l'impact et la valeur d'une accréditation sur les mesures de la performance des hôpitaux. Sur les cinq mesures sélectionnées, trois ont eu des effets positifs statistiquement significatifs associés à l'accréditation : la réduction des retours en service de soins intensifs dans les 24 heures suivant la sortie du patient de ce service ; la réduction de la rotation du personnel ; et l'exhaustivité des dossiers médicaux. L'impact net de l'accréditation était une réduction de 1,2 point de pourcentage du retour des patients en soins intensifs, une baisse de 12,8 % de la rotation annuelle du personnel et une amélioration de 20 % de l'exhaustivité des dossiers médicaux. Le cumul sur trois ans des améliorations dans ces deux hôpitaux s'est traduit par des économies totales s'élevant à USD 593 000 pour le système de soins de santé jordanien.‫املتوسط‬ ‫لرشق‬ ‫الصحية‬ ‫املجلة‬ ‫العرشون‬ ‫و‬ ‫احلادي‬ ‫املجلد‬ ‫الثاين‬ ‫العدد‬ 91

show abstract

Hospital Patient Safety: Characteristics of Best-Performing Hospitals

Cited by 30 publications

References 0 publications

The impact of accreditation on healthcare quality improvement: a qualitative case study

The impact of accreditation on healthcare quality improvement: a qualitative case study

Effects of Hospital Accreditation on Medical Students

Value and impact of international hospital accreditation: a case study from Jordan

Contact Info

Product

Resources

About