Hospital Progress in Reducing Error: The Impact of External Interventions

Hosford, Steven B.

doi:10.3200/htps.86.1.9-20

Cited by 22 publications

(17 citation statements)

References 15 publications

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“…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

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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.

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Section: Discussionsupporting

confidence: 88%

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

Melo

2016

JHOM

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“…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). The literature on the economics of accreditation consist of studies concerning the explicit costs of seeking accreditation (14) and the design of a planned controlled study (15).…”

Section: Introductionmentioning

confidence: 95%

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

Halasa¹,

Zeng²,

Chappy³

et al. 2015

East Mediterr Health J

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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

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“…Another example includes a study conducted by Hosford. [15] Hosford examined whether quality improvement efforts in hospitals led to a reduction in medical errors. The findings of this study show that quality improvement efforts performed at different hospital facilities indeed led to a reduction in medical errors.…”

Section: The Impact Of Quality Improvement On Healthcarementioning

confidence: 99%

“…The findings of this study show that quality improvement efforts performed at different hospital facilities indeed led to a reduction in medical errors. [15] Further, a study conducted in 2008 demonstrated that ventilator patients in a community hospital in Santa Cruz, California, experienced improved outcomes after managers implemented the Plan-Do-Study-Act-Model to assess critical care processes in the intensive care unit. [16] Another study conducted in 2009 showed that series of quality improvement projects that were implemented over a three year period in a pediatric residency program led to the improved management of children with obesity, better compliance with national patient safety goals, and improved patient flow.…”

Section: The Impact Of Quality Improvement On Healthcarementioning

confidence: 99%

The evolution of quality improvement in healthcare: Patient-centered care and health information technology applications

Cantiello

Kitsantas

Moncada³

et al. 2016

JHA

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Objective: Quality improvement in the healthcare industry has evolved over the past few decades. In recent years, an increased focus on coordination of care efforts and the introduction of health information technology has been of high importance in improving the quality of patient care. Methods: In this review, we present a history of quality improvement efforts, discuss quality improvement in the healthcare industry, and examine quality improvement strategies with a focus on patient-centered care and information technology applications via patient registries. Results: Evidence shows that the key to quality improvement efforts in the healthcare industry is the coordination of patient care efforts through better data evaluation processes. By utilizing patient registries that can be linked to electronic health records (EHRs) and the Patient-Centered Medical Home (PCMH) framework, the quality of care provided to patients can be improved. Conclusions: While many healthcare organizations have quality improvement departments or teams in place that may be able to handle these types of efforts, it is important for organizations to be familiar with processes and frameworks that employees at different levels of the organization can be involved in. In order to ensure successful outcomes from quality improvement initiatives, managers and clinicians should work together in identifying problems and developing solutions.

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Hospital Progress in Reducing Error: The Impact of External Interventions

Cited by 22 publications

References 15 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

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

The evolution of quality improvement in healthcare: Patient-centered care and health information technology applications

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