The Impact of Accreditation on Patient Safety and Quality of Care Indicators at King Abdulaziz University Hospital in Saudi Arabia

Awa, B. Al; Wever, Alain De; Almazrooa, Adnan; Habıb, Hamid; Al-Noury, Khaled; El-Deek, Basem; Hati, Taghreed el; Devreux, Isabelle

doi:10.3923/rjmsci.2011.43.51

Cited by 11 publications

(8 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%

“…Consequently, improvement in structure and process performance measures could be expected [21,83]. The impact of accreditation on performance measures was the largest topic (n = 28) explored in our review [8,18,19,28,48,51,54,60,68,79,87,90,[96][97][98][99][100][101][102][103][104][105][106][107][108][109][110][111]. Despite the complexity and cyclicality of accreditation effects on performance measures, about three-fourths (n = 18) of the analyzed studies showed a positive effect of accreditation on service quality at organizational and departmental levels.…”

Section: Changes In the Performance Measuresmentioning

confidence: 95%

“…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 In the Performance Measuresmentioning

confidence: 95%

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%

“…Interestingly, around one-third (n = 24) of the included studies examined the impact of hospital accreditation on patient outcomes [20,33,38,61,71,90,91,92,[118][119][120][121][122][123][124][125][126][127][128][129][130][131][132][133]. 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%

Evidence on hospital accreditation to leverage its prospects for improvement

Hussein

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