Status of accessible quality indices in the hospitals of Shahid Beheshti University of Medical Sciences according to accreditation in 2015

Marzban, Sima; Ramezankhani, Ali; Rezai-Rad, Majid; Daneshkohan, Abbas; Najafi, Amir

doi:10.4103/atmph.atmph_265_17

Cited by 6 publications

(7 citation statements)

References 2 publications

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“…The appraisal of the included studies showed that 32, 37, and 7 studies were of good, fair, and poor methodological quality, respectively. Studies with poor methodological quality have shown a positive [49][50][51] (n = 3) or neutral [52][53][54][55] (n = 4) accreditation effect; albeit, their findings should be scrutinized with care. Our narrative analysis disregarded these studies to avoid jeopardizing Fig.…”

Section: Assessment Of the Methods Usedmentioning

confidence: 99%

“…Only 14 studies that assessed the impact of hospital accreditation on measurable patient-reported outcome parameters were found [21,48,53,55,[69][70][71][72][73][74][75][76][77][78]. Studies mainly used an observational cross-sectional design (n = 12).…”

Section: Changes At the Patient Levelmentioning

confidence: 99%

“…Interestingly, around one third (n = 24) of the included studies examined the impact of hospital accreditation on patient outcomes [8,21,25,[50][51][52][53][79][80][81][82][83][84][85][86][87][88][89][90][91][92][93][94][95]. Of these, 75% have been published since 2015 as an obvious response to previous appeals to investigate accreditation effects on clinical outcomes.…”

Section: Changes In Patient Clinical Outcomesmentioning

confidence: 99%

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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: Assessment Of the Methods Usedmentioning

confidence: 99%

Section: Changes At the Patient Levelmentioning

confidence: 99%

Section: Changes In Patient Clinical Outcomesmentioning

confidence: 99%

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The impact of hospital accreditation on the quality of healthcare: a systematic literature review

Hussein

Pavlova

Ghalwash³

et al. 2021

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

“…The appraisal of the included studies showed that 32, 37, and 7 studies were of good, fair, and poor methodological quality, respectively. Studies with poor methodological quality have shown a positive [89][90][91] (n = 3) or neutral [61,[92][93][94] (n = 4) accreditation effect; albeit, their findings should be scrutinized with care. The narrative analysis in this review disregarded these studies to avoid jeopardizing the conclusion.…”

Section: Assessment Of the Methods Usedmentioning

confidence: 99%

“…Only 14 studies that assessed the impact of hospital accreditation on measurable patient-reported outcome parameters were found [20,88,92,94,[108][109][110][111][112][113][114][115][116][117]. Studies mainly used an observational cross-sectional design (n = 12).…”

Section: • Changes At the Patient Levelmentioning

confidence: 99%

Evidence on hospital accreditation to leverage its prospects for improvement

Hussein

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The impact of hospital accreditation in selected Middle East countries: a scoping review

Khan

Yousefinezhadi

Hinchcliff

2021

JHOM

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PurposeThere is conflicting evidence concerning the impact of hospital accreditation programmes, including across the Middle East Region, where such programmes have been most recently implemented in Iran, Jordan and Saudi Arabia. This paper maps available evidence regarding the impact of hospital accreditation in these three countries and draws attention to knowledge gaps for consideration.Design/methodology/approachThis scoping review was conducted in 2020, using the Arksey and O'Malley framework. Five research databases were searched, along with five government and accreditation agency websites. Searches were complemented by citation chaining. English and Arabic publications evaluating hospital accreditation in the selected countries were included. Commentaries and articles not based on primary data collection and reviews of existing registry data were excluded. There were no exclusions based on study design or methods. A descriptive numerical summary and thematic analysis were used to synthesise the literature.Findingsstudies were included. The majority (n = 35) were published since 2014 and conducted in Saudi Arabia (n = 16). Four themes emerged: organisational impacts, patient safety, quality of care, and patient satisfaction and experience. The literature generally highlights positive impacts of accreditation, but most studies were based solely on health professionals' subjective perceptions. “Organisational impacts” had the largest, and strongest body of supporting evidence, while “patient safety” had the least and most variable evidence.Originality/valueOpportunities to strengthen the design and evaluation of hospital accreditation programmes in the selected countries are highlighted. Additional experimental, mixed-method research is recommended to strengthen the evidence base and inform practical enhancements to hospital accreditation programmes in the region.

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Status of accessible quality indices in the hospitals of Shahid Beheshti University of Medical Sciences according to accreditation in 2015

Cited by 6 publications

References 2 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

Evidence on hospital accreditation to leverage its prospects for improvement

The impact of hospital accreditation in selected Middle East countries: a scoping review

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