Impact of Accreditation on the Quality of Healthcare Services: a Systematic Review of the Literature

Alkhenizan, Abdullah; Shaw, Charles D.

doi:10.4103/0256-4947.83204

Cited by 267 publications

(219 citation statements)

References 29 publications

(30 reference statements)

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“…Some empirical studies found that accreditation improves patient safety, including mortality, morbidity, and the incidence of infection, [32,[36][37][38][39] and this needs to be applied to domestic research. However, the ability to generalize from the results of this study is limited because the history of Korea's accreditation system is short and few relevant studies exist.…”

Section: Discussionmentioning

confidence: 99%

The perception of healthcare employees and the impact of healthcare accreditation on the quality of healthcare in Korea

Park¹,

Jung²,

Suk

2017

JHA

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Objective: In order to encourage more hospitals to participate in the accreditation, there needs to be "substantial evidence of the effectiveness of accreditation". The aim of this study was to identify and analyze healthcare employees' perceptions of hospital accreditation and the impact of hospital accreditation on the quality of healthcare in Korea. Methods: Eight electronic databases were searched between June and July 2016. Of the initially identified 392 abstracts, 14 empirical studies on healthcare accreditation in Korea were selected based on the inclusion criteria. These were retrieved and analyzed. Results: The 14 studies assessed healthcare employees' perception of hospital accreditation as well as the impact of hospital accreditation on the quality of healthcare. The results were classified into four categories according to perception (Need, Purpose, Intent, and Relevance of standards), and into five categories according to the impact of accreditation (Patient safety and healthcare quality, Satisfaction with hospital employees, Leadership, Organizational culture, and Managerial performance). Findings showed that healthcare employees' had good understanding of the purpose, need, and intention of the healthcare accreditation system, but indicated that limitations exist with the accreditation standards. Moreover, evidence showed that healthcare accreditation in Korea has made a positive impact on "patient safety and healthcare quality", "leadership" and "organizational culture". Conclusions: Healthcare accreditation has had a positive overall impact on hospitals and has improved the quality of healthcare as well as patient safety. However, more rigorous research and more diverse research methods are required to determine its long-term effect.

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Section: Discussionmentioning

confidence: 99%

The perception of healthcare employees and the impact of healthcare accreditation on the quality of healthcare in Korea

Park¹,

Jung²,

Suk

2017

JHA

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“…The accreditation issue was proposed in 2012 as a requirement for Health and medical education ministry of Iran on evaluation of hospitals in Iran with the aim of improving the quality of services and increasing patient safety (9). Some other studies conducted in this regard indicated that in organizations where accreditation has been established, high quality services are provided for patients, strengthening the confidence of the society on quality and safety of cares and services (10)(11)(12). Other studies showed no significant difference between validated hospitals and nonvalidated hospitals in terms of patient satisfaction (13).…”

Section: Introductionmentioning

confidence: 99%

Determination of Gap in Accreditation Standards Establishment Process Using Zachman Framework at a Health-Educational Hospital

Asefzadeh¹,

Mamikhani²,

Navvabi³

2016

Biotech Health Sci

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Background: Accreditation is usually a voluntary plan supported by a non-governmental institution and trained evaluators that examine the competency of organizations providing health service according to pre-specified performance standards. Objectives: The current study aimed to determine the degree of establishment of accreditation standards using logical framework of Zachman. Methods: This descriptive research was conducted during year 2015. The population of the study included people involved in the establishment of accreditation standards. Sampling was conducted in the form of complete enumeration according to 36 standards of accreditation. The instrument used for data collection was the "Logical framework of Zachman". Columns of framework consisted of people involved in conducting the work (Who), the purpose of the work (Why), strategy of the work (What), work time (When), and sub-system of doing work (Where) and way of doing work (How), and rows of framework included the view of hospital chief, director/assistants of hospital, officials and personnel. Test chi-square was used to compare between accreditation standards text and studied hospital gap. Descriptive statistical method was used for variables. Results: People involved in doing work and sub-systems of doing work at the hospital were consistent with specified accreditation standards. In 27% of the standards, time interval of doing work in the hospital was not conducted according to accreditation standards. In terms of way of doing work, 25% of standards had not been established, and 26% of them had been established incompletely. During interviews, it was found that 59% of personnel of purpose of doing work, and 94% of them are not informed about the strategy of doing work, according to accreditation standards in the hospital. Conclusions: Uncertainties in the accreditation standards in dimensions of purpose, people involved, strategy and time interval of doing work, respectively, led to a lack of understanding the intention of author/developers of standards by personnel. As a result, this led to lack of complete establishment of accreditation standards in the studied hospital.

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“…This information is vital for both employee and the hospital and aids in the assurance that the hospital is staffed appropriately. [30,[38][39][40][41][42] Apart from being essential items in hospital management, proper personnel files are also essential for hospital accreditation. [43][44][45] Rwanda's Ministry of Health, which aims to strengthen health systems by ensuring provision of high quality services, adopted a hospital accreditation system in 2006 as one of the main strategies to improve quality of care.…”

Section: Introductionmentioning

confidence: 99%

“…Without proper personnel file management, appropriate and valid credentials and qualifications proving the healthcare professionals' competences would not be easily available. [33][34][35][36][37] Well managed personnel files allow hospitals to produce accurate, easily accessible and organized information about employee compensation and benefits; performance including evaluations and any disciplinary action; and work history including hiring, promotions, transfers, retirements and terminations. This information is vital for both employee and the hospital and aids in the assurance that the hospital is staffed appropriately.…”

Section: Introductionmentioning

confidence: 99%

Establishing a tracking system in human resources department to improve the completeness of personnel files at a district hospital in Rwanda

Ibyimana¹,

Wong

Adomako

et al. 2016

JHA

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Introduction: For decades, many low and mid income countries (LMIC) have invested significant effort to improve access to and quality of health care, with less attention paid to the non-clinical, administrative hospital management. Accordingly, a practical personnel filing system was designed and implemented to improve file management efficiency. Methods: Setting: The quality improvement project took place in a rural hospital in Rwanda. Design: A pre-and post-intervention study design to assess the effect of the intervention between January 2015 and February 2016. File auditing and time study were conducted. Intervention: A custom-made computer database to manage documents in a personnel file, standardized follow up process and policy were created and implemented. Measures: The pre-and post-intervention completeness of all personnel file and the average time to identify the missing items in a personnel file were measured to evaluate the effect of the project. Results: The completion rate of personnel files increased from 83% pre-intervention to 96% post-intervention. The average time to identify missing items significantly reduced from 6 minutes 30 seconds pre-intervention to 49.6 seconds (p < .001).Conclusions: This project demonstrates that quality improvement principles can help address administrative issues in a resourcechallenged setting. By utilizing available resources to implement an intervention that focused on creating an easy and efficient process, the personnel file completion rate has increased considerably and the time needed to identify missing items significantly decreased. The hospital should apply the same strategic problem solving methodology to conduct other quality improvement projects.

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Impact of Accreditation on the Quality of Healthcare Services: a Systematic Review of the Literature

Cited by 267 publications

References 29 publications

The perception of healthcare employees and the impact of healthcare accreditation on the quality of healthcare in Korea

The perception of healthcare employees and the impact of healthcare accreditation on the quality of healthcare in Korea

Determination of Gap in Accreditation Standards Establishment Process Using Zachman Framework at a Health-Educational Hospital

Establishing a tracking system in human resources department to improve the completeness of personnel files at a district hospital in Rwanda

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