The challenges of physicians’ participation in hospital accreditation programs: a qualitative study in Iran

Ebrahimipour, Hossein; Hooshmand, Elahe; Varmaghani, Mehdi; Javan‐Noughabi, Javad; Mojtabaeian, Seyyed Morteza

doi:10.1186/s12913-021-07182-w

Cited by 4 publications

(4 citation statements)

References 23 publications

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Section: Discussionmentioning

confidence: 99%

“…As PSC is the responsibility of all professionals involved in healthcare, engaging the medical team in matters of quality and patient safety is crucial to improve safety outcomes. 86 It is expected from organisations with a strong safety culture that their perception is common to all employees and that their values are applied in daily practice. 7 87 88 The COVID-19 pandemic's impact in the PSC Notably, this study was conducted during the COVID-19 pandemic period, when there was a significant drop in the PSC survey scores worldwide between 2019 and 2021.…”

Section: Dimensions 'Requiring Improvements'mentioning

confidence: 99%

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Patient safety culture in South America: a cross-sectional study

Pedroso,

Fernandes,

Tuma

et al. 2023

BMJ Open Qual

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BackgroundEvery year, millions of patients suffer injuries or die due to unsafe and poor-quality healthcare. A culture of safety care is crucial to prevent risks, errors and harm that may result from medical assistance. Measurement of patient safety culture (PSC) identifies strengths and weaknesses, serving as a guide to improvement interventions; nevertheless, there is a lack of studies related to PSC in Latin America.AimTo assess the PSC in South American hospitals.MethodsA multicentre international cross-sectional study was performed between July and September 2021 by the Latin American Alliance of Health Institutions, composed of four hospitals from Argentina, Brazil, Chile and Colombia. The Hospital Survey on Patient Safety Culture (HSOPSC V.1.0) was used. Participation was voluntary. Subgroup analyses were performed to assess the difference between leadership positions and professional categories.ResultsA total of 5695 records were analysed: a 30.1% response rate (range 25%–55%). The highest percentage of positive responses was observed in items related to patient safety as the top priority (89.2%). Contrarily, the lowest percentage was observed in items regarding their mistakes/failures being recorded (23.8%). The strongest dimensions (average score ≥75%) were organisational learning, teamwork within units and management support for patient safety (82%, 79% and 78%, respectively). The dimensions ‘requiring improvement’ (average score <50%) were staffing and non-punitive responses to error (41% and 37%, respectively). All mean scores were higher in health workers with a leadership position except for the hospital handoff/transitions item. Significant differences were found by professional categories, mainly between physicians, nurses, and other professionals.ConclusionOur findings lead to a better overview of PSC in Latin America, serving as a baseline and benchmarking to facilitate the recognition of weaknesses and to guide quality improvement strategies regionally and globally. Despite South American PSC not being well-exploited, local institutions revealed a strengthened culture of safety care.

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Section: Discussionmentioning

confidence: 99%

Section: Dimensions 'Requiring Improvements'mentioning

confidence: 99%

Patient safety culture in South America: a cross-sectional study

Pedroso,

Fernandes,

Tuma

et al. 2023

BMJ Open Qual

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“…To achieve this goal, the third generation of the National Accreditation Program has paid special attention to patient safety, and one of the eight axes of this program is dedicated to the management of drugs and equipment. Thus, the drug management consists of nine standards, including ensuring the hospital's access to drugs, safe storage of drugs, prescription drugs, supply and distribution of drugs, management of drug consumption, continuous evaluation of the process of prescription and drug consumption, monitoring of expired drugs, review of drugs prescribed and medication error control [ 19 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

Occurrence and types of medication error and its associated factors in a reference teaching hospital in northeastern Iran: a retrospective study of medical records

Tabatabaee

Ghavami

Javan‐Noughabi

et al. 2022

BMC Health Serv Res

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Background Medication errors are categorized among the most common medical errors that may lead to irreparable damages to patients and impose huge costs on the health system. A correct understanding of the prevalence of medication errors and the factors affecting their occurrence is indispensable to prevent such errors. The purpose of this study was to investigate the prevalence and types of medication errors among nurses in a hospital in northeastern Iran. Methods The present descriptive-analytical research was conducted on 147 medical records of patients admitted to the Department of Internal Medicine at a hospital in northeastern Iran in 2019, selected by systematic sampling. The data were collected through a researcher-made checklist containing the demographic profiles of the nurses, the number of doctor's orders, the number of medication errors and the type of medication error, and were finally analyzed using STATA version 11 software at a significance level of 0.05. Results Based on the findings of this study, the mean prevalence of medication error per each medical case was 2.42. Giving non-prescription medicine (47.8%) was the highest and using the wrong form of the drug (3.9%) was the lowest medication error. In addition, there was no statistically significant relationship between medication error and the age, gender and marital status of nurses (p > 0.05), while the prevalence of medication error in corporate nurses was 1.76 times higher than that of nurses with permanent employment status (IRR = 1.76, p = 0.009). The prevalence of medication error in the morning shift (IRR = 0.65, p = 0.001) and evening shift (IRR = 0.69, p = 0.011) was significantly lower than that in the night shift. Conclusion Estimating the prevalence and types of medication errors and identified risk factors allows for more targeted interventions. According to the findings of the study, training nurses, adopting an evidence-based care approach and creating interaction and coordination between nurses and pharmacists in the hospital can play an effective role in reducing the medication error of nurses. However, further research is needed to evaluate the effectiveness of interventions to reduce the prevalence of medication errors.

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“…Accreditation practices also emphasise improving motivation among the hospital staff 2 4. Motivation among physicians and nurses directly impacts the quality of care in hospitals 9 10. In all hospitals, including the Jordanian ones, accreditation improves organisational performance hospitals based on three pillars.…”

Section: Introductionmentioning

confidence: 99%

Understanding the factors influencing the implementation of accreditation in Jordanian Hospitals: the nurses’ view

Algunmeeyn

Mrayyan

2022

BMJ Open Qual

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BackgroundAccreditation practices are influenced by many variables, resulting in positive outcomes, such as enhanced motivation among the hospital staff. Motivation among the physician and nurses directly impacts the service quality of the hospitals. Accreditation increases organisational capacity, which may improve hospitals’ overall performance. This study aimed at assessing the factors influencing the implementation of accreditation in Jordanian hospitals.MethodThis study employed a qualitative approach. As a result, 40 nurses were recruited from two public hospitals with varying experience and specialties. Data were gathered through face-to-face interviews. Interviews were conducted with a total of 40 hospital nurses, who were selected based on convenience and purposeful sampling.ResultsCommunication, recruiting qualified and effective hospital directors, patient involvement and engagement and teamwork influenced the implementation of accreditation in Jordanian hospitals.ConclusionThe implementation of the accreditation process is influenced by many factors. Therefore, focusing more on these factors while using the views and experiences of nurses involved in this process will significantly impact the implementation of the accreditation process in various clinical settings, particularly hospitals.

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The challenges of physicians’ participation in hospital accreditation programs: a qualitative study in Iran

Cited by 4 publications

References 23 publications

Patient safety culture in South America: a cross-sectional study

Patient safety culture in South America: a cross-sectional study

Occurrence and types of medication error and its associated factors in a reference teaching hospital in northeastern Iran: a retrospective study of medical records

Understanding the factors influencing the implementation of accreditation in Jordanian Hospitals: the nurses’ view

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